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Organization
RONALD SEYMOUR WEAVER MD INC
Active
Organization
RONALD SEYMOUR WEAVER MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MO SOULATI (BILLING MANAGER)
(310) 412-8181
Entity
Organization
Contact information
Practice address
11860 WILSHIRE BLVD, SUITE # 100, LOS ANGELES, CA 90025-6613
(310) 412-8181
(310) 412-9299
Mailing address
633 AERICK ST, SUITE 101, INGLEWOOD, CA 90301-1902
(310) 412-8181
(310) 412-9299
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G30118
CA
Other
Enumeration date
09/19/2012
Last updated
09/19/2012
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