Organization
BERNARD WEINTRAUB MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA J. ISHIBASHI (BUSINESS MANAGER)
(310) 453-4780
Entity
Organization
Contact information
Practice address
2001 SANTA MONICA BLVD, 660W, SANTA MONICA, CA 90404-2102
(310) 453-8584
(310) 829-2306
Mailing address
2001 SANTA MONICA BLVD, 660W, SANTA MONICA, CA 90404-2102
(310) 453-8584
(310) 829-2306
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
G36942
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G369420
—
CA
01
—
1104931773
NPI
CA
Enumeration date
08/13/2007
Last updated
07/20/2015
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