Individual
DR. FREDDIE WEINSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1555 SOQUEL DR, SANTA CRUZ, CA 95065-1705
(831) 462-7507
Mailing address
1555 SOQUEL DR, SANTA CRUZ, CA 95065-1705
(831) 462-7507
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G073362
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G733620
—
CA
01
—
ZZZ91891Z
MEDICARE GROUP PTAN#
CA
01
—
ZZZ91892Z
MEDICARE GROUP PTAN#
CA
01
—
ZZZ92069Z
MEDICARE GROUP PTAN#
CA
Enumeration date
01/22/2007
Last updated
08/25/2014
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