# RICHARD A. WEISE, M.D., A MEDICAL CORPORATION

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1346536109
- **Authorized official:** DR. RICHARD A WEISE M.D. (MEDICAL DOCTOR)
- **Authorized official phone:** (818) 956-1010

## Contact information

- **Practice address:** 500 N CENTRAL AVE STE 400, GLENDALE, CA 91203-1928
- **Practice address phone:** (818) 956-1010
- **Practice address fax:** (818) 543-6083
- **Mailing address:** 501 W GLENOAKS BLVD, SUITE 119, GLENDALE, CA 91202-2896
- **Mailing address phone:** (818) 956-1010
- **Mailing address fax:** (818) 543-6083

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | G45111 | CA | Yes |

## Other

- **Enumeration date:** 06/21/2011
- **Last updated:** 02/12/2024