Individual
BERNARD IRVING WEINSTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1225 N H ST, LOMPOC, CA 93436-3301
(805) 588-1740
(805) 733-2491
Mailing address
1225 N H ST, LOMPOC, CA 93436-3301
(805) 588-1740
(805) 733-2491
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
G34920
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G349200
—
CA
01
—
G34920
STATE LICENSE
CA
Enumeration date
08/13/2006
Last updated
10/06/2020
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