Individual
GEOFFREY D WEINSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3075 HEALTH CENTER DRIVE, LEVEL 0, SAN DIEGO, CA 92123
(858) 939-5010
(858) 939-5021
Mailing address
5725 KEARNY VILLA ROAD, SUITE I, SAN DIEGO, CA 92123
(858) 256-0351
(582) 560-3518
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A54109
CA
2085R0001X
Radiation Oncology Physician
Primary
A54109
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A541090
—
CA
01
—
A54109
MEDICAL LICENSE
CA
Enumeration date
06/14/2006
Last updated
02/11/2020
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