Organization
BERNARD I WEINSTOCK MD PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNARD IRVING WEINSTOCK M.D. (OWNER/DOCTOR)
(805) 588-1740
Entity
Organization
Contact information
Practice address
1225 N H ST, LOMPOC, CA 93436-3301
(805) 588-1740
(805) 733-2491
Mailing address
689 SAINT ANDREWS WAY, LOMPOC, CA 93436-1358
(805) 588-1740
(805) 733-2491
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
G34920
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G349200
—
CA
01
—
G34920
STATE LISCENSE
CA
Enumeration date
08/28/2007
Last updated
09/04/2020
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