Organization Name: | JUNE WEINSTEIN&ASSOCIATES LLC |
NPI Number: | 1114321460 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JACK NMN WEINSTEIN (CFO AND MEDICAL CONSULTANT) |
Mailing Address: | 17853 Santiago Blvd Suite 354 Villa Park |
State: | CA US |
Postal Code: | 928614113 |
Phone Number: | 7149743828 |
Fax Number: | 7149744461 |
NPI Enumeration Date: | 10/15/2014 |
NPI Last Update Date: | 10/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | G21109 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |