Search › California › 1041C0700X
Sam Weiss
NPI 1043645468 · on the registry since 2013 · sole proprietor
Practice
- Address
- 6147 Ibbetson Ave
Lakewood, CA 90713 - Phone
- (949) 478-5062
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California