MEDICARE: CAMERON WEISER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	309221	CA

General Provider Information

NPI Number	:	1962367870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAMERON WEISER

Provider Business Mailing Address
First Line	:	23352 MARIANO ST
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-4139
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	23352 MARIANO ST
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-4139
Country	:	US
Telephone Number	:	818-456-3628
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/23/2025
Last Update Date	:	12/23/2025

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Directions to “ CAMERON WEISER ” Practice Location

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