MEDICARE: DR. JAMES S WEINTRAUB MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	G40636	CA

General Provider Information

NPI Number	:	1033277231
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES S WEINTRAUB MD

Provider Business Mailing Address
First Line	:	1240 S WESTLAKE BLVD STE 102
Second Line	:
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361-1972
Country	:	US
Telephone Number	:	805-496-7888
Fax Number	:	805-496-7699

Provider Business Practice Location Address
First Line	:	1240 S WESTLAKE BLVD
Second Line	:	SUITE 102
City	:	WESTLAKE VILLAGE
State	:	CA
Zip	:	91361
Country	:	US
Telephone Number	:	805-496-7888
Fax Number	:	805-496-7699

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/04/2006
Last Update Date	:	05/26/2026

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