Individual
JEFFREY WEINSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
55 FAIR DR, COSTA MESA, CA 92626-6520
(714) 668-6619
(714) 668-6144
Mailing address
55 FAIR DR, COSTA MESA, CA 92626-6520
(714) 668-6619
(714) 668-6144
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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