| Doctor Name: | DR. JOHN C WEAVER |
| NPI Number: | 1033227467 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | A21531 |
| Business Practice Address: | 1030 International Blvd Oakland, CA - 946063730 |
| Business Phone Number: | 5102385400 |
| Business Fax Number: | 5102385437 |
| Mailing Address: | Po Box 22210, OAKLAND |
| State: | CA |
| Postal Code: | 946232210 |
| Phone Number: | 5105354000 |
| Fax Number: | 5105354189 |
| NPI Enumeration Date: | 08/27/2006 |
| NPI Last Update Date: | 08/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | A21531 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |