Healthcare Provider Details

I. General information

NPI: 1598826612
Provider Name (Legal Business Name): BENJAMIN MENASHEH WEINBERG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2006
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24411 HEALTH CENTER DR STE 680
LAGUNA HILLS CA
92653-3692
US

IV. Provider business mailing address

24411 HEALTH CENTER DR STE 680
LAGUNA HILLS CA
92653-3692
US

V. Phone/Fax

Practice location:
  • Phone: 657-241-4280
  • Fax: 949-346-8361
Mailing address:
  • Phone: 657-241-4280
  • Fax: 949-346-8361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberA80826
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA80826
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License NumberA80826
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: