Individual
IRWIN STUART WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1521 SORRENTO DR, PACIFIC PALISADES, CA 90272-2746
(310) 454-1490
Mailing address
1521 SORRENTO DR, PACIFIC PALISADES, CA 90272-2746
(310) 454-1490
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G15111
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G151110
MEDICAL PPIN #
CA
Enumeration date
07/24/2006
Last updated
07/01/2010
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