Individual
DR. ETHAN J. WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 PARNASSUS AVE, SAN FRANCISCO, CA 94117-3617
(415) 476-5405
(415) 502-8627
Mailing address
1635 DIVISADERO STREET, SUITE 625, BOX 1821, SAN FRANCISCO, CA 94143-0001
(415) 476-4029
(415) 476-4150
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A65930
CA
207RC0000X
Cardiovascular Disease Physician
Primary
A65930
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A659300
—
CA
Enumeration date
07/03/2006
Last updated
09/11/2025
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