Individual
ROBERT BERNARD WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12099 W WASHINGTON BLVD STE 300, LOS ANGELES, CA 90066-2621
(310) 558-9777
(310) 558-9778
Mailing address
PO BOX 17763, BEVERLY HILLS, CA 90209-3763
(310) 558-9777
(310) 558-9778
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
G30439
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G304391
—
CA
01
—
G3043913
MEDICARE ID
CA
Enumeration date
07/27/2006
Last updated
08/12/2020
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