Individual
STEPHEN SAMUEL WEIGT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 MED PLZ, SUITE 365, LOS ANGELES, CA 90095-0001
(310) 825-8061
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 301-8708
(310) 301-8751
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A82871
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A82871
CA
207RP1001X
Pulmonary Disease Physician
Primary
A82871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A828710
—
CA
Enumeration date
06/19/2007
Last updated
02/28/2014
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