Individual
DR. FREDRIC E. WEISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16311 VENTURA BLVD, SUITE #1175, ENCINO, CA 91436-2124
(818) 501-4277
(818) 501-3113
Mailing address
16311 VENTURA BLVD, SUITE #1175, ENCINO, CA 91436-2124
(818) 501-4277
(818) 501-3113
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G29963
CA
Other
Enumeration date
05/14/2007
Last updated
12/19/2008
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