Individual
FRED A. WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 SAN PABLO ST, SUITE 4300, LOS ANGELES, CA 90033-5330
(323) 442-5849
Mailing address
PO BOX 31309, LOS ANGELES, CA 90031-0309
(323) 442-5849
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
G57487
CA
Other
Enumeration date
07/07/2006
Last updated
11/27/2023
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