Individual
JUSTIN BRYAN WEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25825 VERMONT AVE, HARBOR CITY, CA 90710-3518
(310) 301-6800
Mailing address
5767 W CENTURY BLVD, SUITE 400, LOS ANGELES, CA 90045-5631
(310) 301-6800
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
119056
CA
2085R0202X
Diagnostic Radiology Physician
A119056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1190560
—
CA
Enumeration date
11/29/2007
Last updated
12/03/2021
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