Individual
DR. AMANDA PATRICIA WEILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4618 FOUNTAIN AVE, LOS ANGELES, CA 90029-1830
(323) 953-7170
Mailing address
950 S GRAND AVE FL 2, LOS ANGELES, CA 90015-3999
(323) 669-4346
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A90432
CA
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
A90432
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A904320
—
CA
Enumeration date
10/06/2006
Last updated
11/30/2021
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