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Organization
JAMES R WEAGLEY, MD, INC.
Active
Organization
JAMES R WEAGLEY, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES WEAGLEY M.D. (PRESIDENT)
(818) 324-4625
Entity
Organization
Contact information
Practice address
24355 LYONS AVE, SUITE 130, NEWHALL, CA 91321-2300
(661) 255-9355
(661) 255-7951
Mailing address
20280 SORRENTO LN APT 208, PORTER RANCH, CA 91326-4482
(818) 324-4625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A046229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A46229
MED LICENSE
CA
Enumeration date
03/21/2007
Last updated
12/10/2020
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