# DAVID J. WEIST, MD, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306931969
- **Authorized official:** DR. DAVID J WEIST M.D. (OWNER)
- **Authorized official phone:** (530) 243-0498

## Contact information

- **Practice address:** 1100 BUTTE STREET, REDDING, CA 96001
- **Practice address phone:** (530) 243-0498
- **Practice address fax:** (530) 243-1309
- **Mailing address:** P.O. BOX 994307, REDDING, CA 96099-4307
- **Mailing address phone:** (530) 243-0498
- **Mailing address fax:** (530) 243-1309

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A51285 | CA | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | A51285 | CA STATE LICENSE \# | CA |
