| Doctor Name: | DR. JORGE ERIK WEIBEL |
| NPI Number: | 1356594923 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | C35370 |
| Business Practice Address: | 52 Okega Ln Trinidad, CA - 955709654 |
| Business Phone Number: | 7076773339 |
| Business Fax Number: | |
| Mailing Address: | 52 Okega Ln, TRINIDAD |
| State: | CA |
| Postal Code: | 955709654 |
| Phone Number: | 7076773339 |
| Fax Number: | |
| NPI Enumeration Date: | 10/28/2008 |
| NPI Last Update Date: | 02/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0203X |
| License Number: | C35370 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Therapeutic Radiology |
| Taxonomy Definition: | |