Organization · NPI-2

Allan Gary Weiss Dpm A Professional Corp

Podiatrist · Orange, CA

NPI number1912215708
StatusActive
Last updated in NPPESSep 15, 2010

Details

NPI
1912215708
Entity type
Organization (NPI-2)
Legal business name
Allan Gary Weiss Dpm A Professional Corp
Organization subpart
No
Enumeration date
Sep 15, 2010
Last updated
Sep 15, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
213E00000X PodiatristE1917CAYes

Practice location

705 W La Veta Ave Ste 100
Orange, CA 92868-4447

Phone 714-628-1995 · Fax 714-628-1983

Mailing address

705 W La Veta Ave Ste 100
Orange, CA 92868-4447

Phone 714-628-1995 · Fax 714-628-1983

Authorized official

Allan Gary Weiss Dpm
Owner
7146281995

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Podiatrist providers in Orange, CA