Individual
DR. CHARLES ERNEST WEIDMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15243 VANOWEN ST, SUITE 306, VAN NUYS, CA 91405-3649
(818) 781-0232
(818) 781-4132
Mailing address
15243 VANOWEN STREET, SUITE 306, VAN NUYS, CA 91405-3649
(818) 781-0232
(818) 781-4132
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G048620
CA
207RR0500X
Rheumatology Physician
Primary
G048620
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G486200
—
CA
Enumeration date
11/11/2005
Last updated
01/22/2015
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