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NPI Code Detail

MEDICARE: DR. STEVEN RICHARD WEINER M.D.

MEDICARE: DR. STEVEN RICHARD WEINER M.D.
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
1207RR0500XRheumatology PhysicianG44483CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063402956
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEVEN RICHARD WEINER M.D.
Provider Business Mailing Address
First Line : PO BOX 4526
Second Line :
City : CHATSWORTH
State : CA
Zip : 91313-4526
Country : US
Telephone Number : 818-703-7595
Fax Number : 818-703-8417
Provider Business Practice Location Address
First Line : 6325 TOPANGA CANYON BLVD
Second Line : SUITE 224
City : WOODLAND HILLS
State : CA
Zip : 91367-2017
Country : US
Telephone Number : 818-703-7595
Fax Number : 818-703-8417
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2005
Last Update Date : 11/11/2021

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