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Individual

DR. LEE R. WEISS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
555 E HARDY ST, INGLEWOOD, CA 90301-4011
(310) 419-8636
(310) 963-0403
Mailing address
PO BOX 661297, ARCADIA, CA 91066-1297
(626) 447-0296
(626) 447-6057

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
35.054529
OH
207P00000X
Emergency Medicine Physician
Primary
G87130
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G871300
CA
Enumeration date
01/03/2006
Last updated
01/15/2009
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