Healthcare Provider Details

I. General information

NPI: 1427165067
Provider Name (Legal Business Name): MICHAEL S WEINSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 11/30/2021
Certification Date: 11/30/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 N INDIAN CANYON DR
PALM SPRINGS CA
92262-4872
US

IV. Provider business mailing address

2953 CANDLELIGHT LN
PALM SPRINGS CA
92264-6823
US

V. Phone/Fax

Practice location:
  • Phone: 760-323-6605
  • Fax: 760-323-6568
Mailing address:
  • Phone: 760-619-2309
  • Fax: 866-428-0703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberMD00021629
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License NumberG88894
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: