Weiss, Irwin Kevin

Weiss, Irwin Kevin is an individual health care provider with primary practice located at 10833 Le Conte Avenue 12-441 Mdcc, Los Angeles CA 90095. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Weiss, Irwin Kevin can be contacted via phone (310) 206-3952.

Contact Information

Primary practice address
10833 Le Conte Avenue 12-441 Mdcc Los Angeles CA 90095
Phone: (310) 206-3952
Fax: (310) 206-0209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X G74628 California
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X G74628 California

Profile Details

NPI number 1013013317
LBN Legal business name Weiss, Irwin Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Aug 30th, 2011 - about 13 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 1013013317 NPPES
California MEDICAID GR0053510
California MEDICAID 00G746280

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