Individual
DR. WENDY WEITING HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 MEDICAL PLZ, LOS ANGELES, CA 90095-0001
(310) 206-0644
Mailing address
5767 W CENTURY BLVD, SUITE 200, LOS ANGELES, CA 90045-5632
(310) 301-8708
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A103077
CA
207RG0100X
Gastroenterology Physician
222554
MA
207RG0100X
Gastroenterology Physician
Primary
A103077
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0A1030770
—
CA
Enumeration date
11/09/2005
Last updated
11/25/2008
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