Weller, Marc L.

Weller, Marc L. is an individual health care provider with primary practice located at 1798 N Garey Ave , Pomona CA 91767-2918. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Weller, Marc L. can be contacted via phone (909) 865-9140.

Contact Information

Primary practice address
1798 N Garey Ave Pomona CA 91767-2918
Phone: (909) 865-9140
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G45304 California

Profile Details

NPI number 1194769059
LBN Legal business name Weller, Marc L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated May 19th, 2016 - about 9 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 1194769059 NPPES
California MEDICAID 00G453040

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