Individual
JEFFREY WIEGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8536 WILSHIRE BLVD STE 102, BEVERLY HILLS, CA 90211-3154
(310) 248-7051
Mailing address
135 N HAYWORTH AVE APT 302, LOS ANGELES, CA 90048-3649
(417) 459-8646
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A181657
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
A181657
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2019
Last updated
09/18/2024
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