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Organization

PHYLLIS A. WEINSTEIN DPM, INC.

Active
Parent organization
PHYLLIS A. WEINSTEIN DPM, INC.
Organization subpart
Yes

Provider details

NPI number
Legal business name
PHYLLIS A. WEINSTEIN DPM, INC.
Authorized official
DR. PHYLLIS A WEINSTEIN DPM (OWNER/ PHYSICIAN)
(626) 285-7322
Entity
Organization

Contact information

Practice address
9822 LAS TUNAS DR, TEMPLE CITY, CA 91780-2208
(626) 285-7322
(626) 285-4522
Mailing address
9822 LAS TUNAS DR, TEMPLE CITY, CA 91780-2208
(626) 285-7322
(626) 285-4522

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
E4003
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000E40030
CA
Enumeration date
07/23/2008
Last updated
01/22/2019
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