Individual
ELIZABETH ANNE WEINER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4650 W SUNSET BLVD, MAILSTOP 76, LOS ANGELES, CA 90027-6062
(800) 225-8885
(508) 334-1977
Mailing address
4650 W SUNSET BLVD, MAILSTOP 76, LOS ANGELES, CA 90027-6062
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
247149
MA
208000000X
Pediatrics Physician
Primary
A131113
CA
208D00000X
General Practice Physician
A131113
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
MA
Enumeration date
06/23/2008
Last updated
09/29/2021
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