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NPI Code Detail

MEDICARE: DR. ANDREW ROSS WEYMER M.D.

MEDICARE: DR. ANDREW ROSS WEYMER 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
1207R00000XInternal Medicine PhysicianG67821CA
2207RC0200XCritical Care Medicine (Internal Medicine) PhysicianG67821CA
3207RP1001XPulmonary Disease PhysicianG67821CA

General Provider Information

NPI Number : 1689675514
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW ROSS WEYMER M.D.
Provider Business Mailing Address
First Line : 4000 CALLE TECATE STE 115
Second Line :
City : CAMARILLO
State : CA
Zip : 93012-5285
Country : US
Telephone Number : 805-485-2400
Fax Number : 805-485-3025
Provider Business Practice Location Address
First Line : 1910 OUTLET CENTER DR
Second Line :
City : OXNARD
State : CA
Zip : 93036-0677
Country : US
Telephone Number : 805-485-2400
Fax Number : 805-485-3025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2005
Last Update Date : 12/05/2022

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