John C Weaver MD a Professional Corporation
John C Weaver MD a Professional Corporation provides General Practice Physician services in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.
- Licensed in
- CA
- In the registry since
- 2007
Practice location Address checks out
204 S Atlantic Blvd Ste 2Los Angeles, CA 90022-1755
Phone: (323) 724-8164
Fax: (323) 724-9207
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Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence G35959 (CA) |
|---|
Record details
| NPI number | 1366577744 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Weaver — President · (323) 724-8164 |
| NPI enumerated | February 23, 2007 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | Po Box 424, Culver City, CA 90232-0424 |
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