Organization Name: | RONALD SEYMOUR WEAVER MD INC. |
NPI Number: | 1336354315 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MO SOULATI (BILLING MANAGER) |
Mailing Address: | 633 Aerick St Suite 101 Inglewood |
State: | CA US |
Postal Code: | 903011902 |
Phone Number: | 3104128181 |
Fax Number: | 3104129299 |
NPI Enumeration Date: | 05/11/2007 |
NPI Last Update Date: | 05/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | W21028 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |