Organization
JOHN C WEAVER MD A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C WEAVER M.D. (PRESIDENT)
(323) 724-8164
Entity
Organization
Contact information
Practice address
204 S ATLANTIC BLVD, SUITE 2, LOS ANGELES, CA 90022-1755
(323) 724-8164
(323) 724-9207
Mailing address
PO BOX 424, CULVER CITY, CA 90232-0424
(323) 724-8164
(323) 724-9207
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G35959
CA
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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