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General NPI Number Information
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NPI Number | 1326265919
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Entity Type | Organization
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Legal Business Name | LAURENCE J.S. WEEKES M.D. AND LINDA TIGNER WEEKES, M.D. INC.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 12/29/2010
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Provider Practice Location Address
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Address Line | 2650 JONES WAY SUITE 2
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City | SIMI VALLEY
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State | CA
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Zip | 93065-1203
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Country | US
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Telephone | 805-577-7977
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Fax | 805-577-0745
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Provider Business Mailing Address
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Address Line | 2650 JONES WAY SUITE 2
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City | SIMI VALLEY
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State | CA
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Zip | 93065-1203
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Country | US
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Telephone | 805-577-7977
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Fax | 805-577-0745
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LAURENCE J.S. WEEKES
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Credential | M.D.
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Telephone | 805-577-7977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G28484
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License Number State | CA
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