Organization Name: | SPADARO & WEISZ A MEDICAL CORPORATION |
NPI Number: | 1356511398 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BETSY WEISZ (PRESIDENT) |
Mailing Address: | 430 Avenida De Los Arboles Ste 201 Thousand Oaks |
State: | CA US |
Postal Code: | 913603017 |
Phone Number: | 8054931964 |
Fax Number: | 8054920664 |
NPI Enumeration Date: | 03/05/2008 |
NPI Last Update Date: | 03/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A80637 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |