Individual
ISAAC WIENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10921 WILSHIRE BLVD STE 1205, LOS ANGELES, CA 90024-4005
(310) 824-3378
(310) 208-2870
Mailing address
16542 VENTURA BLVD STE 402, ENCINO, CA 91436-4562
(818) 782-5041
(818) 205-9091
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
G46722
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
G46722
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G467220
—
CA
Enumeration date
08/30/2005
Last updated
08/12/2022
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