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Individual

ROGER A WEINHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
8700 BEVERLY BLVD, ROOM M335, LOS ANGELES, CA 90048
(310) 423-8000
Mailing address
PO BOX 4313, WOODLAND HILLS, CA 91365-4313
(805) 375-8800
(805) 375-8900

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
A22929
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A229290
CA
01
RHL116282
DEPT OF HEALTH SERVICES
CA
Enumeration date
02/27/2007
Last updated
03/07/2023
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