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Organization

LAWRENCE WEINSTEIN, M.D., MEDICAL GROUP, INC.

Active
Other names
The Prometa Center, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHUCK TIMPE (ASSISTANT SECRETARY OF THE CORP)
(310) 444-4320
Entity
Organization

Contact information

Practice address
1315 LINCOLN BLVD, SUITE 250, SANTA MONICA, CA 90401-1750
(310) 496-5505
Mailing address
11150 SANTA MONICA BLVD, SUITE 1500, LOS ANGELES, CA 90025-3380
(310) 444-4309
(310) 444-5300

Taxonomy

Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
207R00000X
Internal Medicine Physician
207RA0401X
Addiction Medicine (Internal Medicine) Physician
363L00000X
Nurse Practitioner

Other

Enumeration date
07/17/2007
Last updated
02/06/2008
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