Individual
DR. SANDRA R WEITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
660 LAKE SHORE BLVD, ZEPHYR COVE, NV 89448
(225) 773-0473
Mailing address
833 N LAS PALMAS AVE, LOS ANGELES, CA 90038-3515
(225) 773-0473
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
22562
NV
207LP2900X
Pain Medicine (Anesthesiology) Physician
G68113
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1534030
—
LA
Enumeration date
05/20/2006
Last updated
12/15/2023
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