Weisenthal, Larry Mark
Weisenthal, Larry Mark is an sole proprietor health care provider with primary practice located at 16512 Burke Lane , Huntington Beach CA 92647-4538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Weisenthal, Larry Mark can be contacted via phone (714) 596-2100.Contact Information
Primary practice address
16512 Burke Lane
Huntington Beach CA 92647-4538
Phone: (714) 596-2100
Fax: (714) 596-2110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | 66724 | California |
Profile Details
| NPI number | 1568497519 |
|---|---|
| LBN Legal business name | Weisenthal, Larry Mark |
| Credentials | MD., PHD. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2006 |
| Last updated | May 17th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568497519 | NPPES |
| California | Other | G41204 | MEDICARE PROVIDER # |
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