Organization
JEFFREY R. WEINER, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R. WEINER M.D. (PRESIDENT)
(650) 579-1020
Entity
Organization
Contact information
Practice address
215 N SAN MATEO DR, SUITE # 10, SAN MATEO, CA 94401-2622
(650) 579-1020
(650) 579-1027
Mailing address
215 N SAN MATEO DR, SUITE # 10, SAN MATEO, CA 94401-2622
(650) 579-1020
(650) 579-1027
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G33003
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G330030
—
CA
Enumeration date
02/02/2007
Last updated
01/31/2012
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