Healthcare Provider Details

I. General information

NPI: 1710881305
Provider Name (Legal Business Name): JOSEPH WEISIGER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10050 FUERTE DR
LA MESA CA
91941-4318
US

IV. Provider business mailing address

10050 FUERTE DR
LA MESA CA
91941-4318
US

V. Phone/Fax

Practice location:
  • Phone: 619-985-2820
  • Fax: 619-985-2820
Mailing address:
  • Phone: 619-985-2820
  • Fax: 619-985-2820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: