Physician Compare National (NPI:1790941144)

HEALTHCARE PROVIDER: LEE ANN SMITH WEINTRAUB MPH, RD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1790941144
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2365504115
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090103000011
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	WEINTRAUB
	Individual professional last name
Provider First Name	LEE ANN
	Individual professional first name
Provider Middle Name	S
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2004
	Individual professional's medical school graduation year
Primary Specialty	REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	8885 VENICE BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	205H
	Group Practice or individual's line 2 address
City	LOS ANGELES
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	900343230
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3105624313
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M