Individual
DR. MARTIN H. WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1520 SAN PABLO ST, STE 3800, LOS ANGELES, CA 90033-5310
(323) 442-5720
(323) 442-7543
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5720
(323) 442-7543
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
G24126
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G241260
—
CA
01
—
CD126Z
PTAN
CA
Enumeration date
06/22/2006
Last updated
03/18/2015
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