Organization
CRESCENTA FAMILY MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY T. WECKBACHER D.C. (SECRETARY)
(818) 957-7612
Entity
Organization
Contact information
Practice address
2048 MONTROSE AVE, MONTROSE, CA 91020-1605
(818) 957-7612
Mailing address
2048 MONTROSE AVE, MONTROSE, CA 91020-1605
(818) 957-7612
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
DC18169
CA
Other
Enumeration date
12/24/2006
Last updated
08/22/2020
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