Healthcare Provider Details

I. General information

NPI: 1083813638
Provider Name (Legal Business Name): ANNA MARIA WEISSMANN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2007
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8670 WILSHIRE BLVD STE 101
BEVERLY HILLS CA
90211-2930
US

IV. Provider business mailing address

11995 SINGLETREE LN STE 500
EDEN PRAIRIE MN
55344-5349
US

V. Phone/Fax

Practice location:
  • Phone: 310-358-2100
  • Fax:
Mailing address:
  • Phone: 952-595-1100
  • Fax: 612-294-4903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number3229
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberC148986
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: