Organization
LEWIS R. WEINTRAUB,M.D. A MEDICAL CORP.
Active
Parent organization
LEWIS R. WEINTRAUB, M.D. A MEDICAL CORP.
Other names
Lewis R. Weintraub,M.D. A Medical Corp.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LEWIS R. WEINTRAUB, M.D. A MEDICAL CORP.
Authorized official
DR. LEWIS R WEINTRAUB MD (OWNER)
(818) 783-7277
Entity
Organization
Contact information
Practice address
5400 BALBOA BLVD, STE 228, ENCINO, CA 91316-1502
(818) 783-7277
(818) 783-9607
Mailing address
5400 BALBOA BLVD, STE 228, ENCINO, CA 91316-1502
(818) 783-7277
(818) 783-9607
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
G9352
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265757959
RAILROAD MEDICARE
CA
Enumeration date
04/06/2010
Last updated
09/21/2010
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