Weinman, Tay Justin

Weinman, Tay Justin is an sole proprietor health care provider with primary practice located at 571 W 7Th St , San Pedro CA 90731-3115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Weinman, Tay Justin can be contacted via phone (310) 833-1327.

Contact Information

Primary practice address
571 W 7Th St San Pedro CA 90731-3115
Phone: (310) 833-1327
Fax: (310) 833-0698
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X G14368 California

Profile Details

NPI number 1972501237
LBN Legal business name Weinman, Tay Justin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2005
Last updated Mar 20th, 2008 - about 18 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 1972501237 NPPES
California MEDICAID 00G143680

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