Weir, Justin Bryan

Weir, Justin Bryan is an individual health care provider with primary practice located at 25825 Vermont Ave , Harbor City CA 90710-3518. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Weir, Justin Bryan can be contacted via phone (310) 301-6800.

Contact Information

Primary practice address
25825 Vermont Ave Harbor City CA 90710-3518
Phone: (310) 301-6800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A119056 California
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 119056 California

Profile Details

NPI number 1720260953
LBN Legal business name Weir, Justin Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2007
Last updated Dec 3rd, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720260953 NPPES
California MEDICAID 0A1190560

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