Individual
DR. CARL WEINERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1310 W STEWART DR, SUITE 508, ORANGE, CA 92868-3854
(714) 633-2111
(714) 633-5615
Mailing address
1310 W STEWART DR, SUITE 508, ORANGE, CA 92868-3854
(714) 633-2111
(714) 633-5615
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G39051
CA
207XP3100X
Pediatric Orthopaedic Surgery Physician
Primary
G39051
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G390510
—
CA
01
—
00G390511
MEDI-CAL LEGACY
CA
01
—
W14179
GROUP PTAN
CA
01
—
WG39051A
MEDICARE PTAN
CA
Enumeration date
05/17/2006
Last updated
02/11/2009
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