JUSTIN BRYAN WEIR (NPI# 1720260953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720260953 |
Entity Type | Individual |
Full Name | JUSTIN BRYAN WEIR |
Credential | M.D. |
Practice Address |
25825 Vermont Ave Harbor City CA 90710-3518 |
Mailing Address |
5767 W Century Blvd Suite 400 Los Angeles CA 90045-5631 |
Practice Telephone | 3103016800 |
Mailing Telephone | 3103016800 |
Enumeration Date | 2007-11-29 |
Last Update Date | 2018-02-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085B0100X |
Radiology Specialization: Body Imaging |
119056 | CA | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A119056 | CA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | 0A1190560 | 05 |
Street Address |
25825 VERMONT AVE |
City | HARBOR CITY |
State | CA |
Zip Code | 90710-3518 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578567178 | Jennifer Diane Armstrong | Internal Medicine | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2005-06-10 |
1972118263 | Mitos Rachel Roa Daling | Registered Nurse | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-09-13 |
1689285884 | Sarah Gong | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-08-11 |
1578172607 | Daisy Lee | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-07-24 |
1114558897 | David Seho Park | Pharmacist | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2020-01-30 |
1801446208 | Pamela Barron-zambrano | Nurse Anesthetist, Certified Registered | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-09-17 |
1760030076 | Tajmara Ismail | Respiratory Therapist, Registered | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-08-29 |
1518513423 | Alexa Ann Pepin | Dietitian, Registered | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-08-15 |
1184279119 | Martin Lavertu | Registered Nurse | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-08-06 |
1417515073 | Ulises Obregon | Respiratory Therapist, Registered | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2019-05-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164036018 | Eddie Blackmon IIi | Respiratory Therapist, Registered | 25820 Normandie Ave, Harbor City, CA 90710 | 2020-09-08 |
1316502099 | Jennifer Ilene Estey | Nurse Practitioner | 1403 Lomita Blvd Ste 307, Harbor City, CA 90710 | 2019-05-07 |
1104398643 | Active Life Home Care Inc | In Home Supportive Care | 760 W. Lomita Blvd., Suite 79, Harbor City, CA 90710 | 2018-12-21 |
1073088514 | Ez Access Transportation Corp. | Non-emergency Medical Transport (VAN) | 24328 S Vermont Ave, Suite #313, Harbor City, CA 90710 | 2018-10-11 |
1689192791 | County of Los Angeles Auditor Controller | Clinic/Center | 1403 Lomita Blvd., Suite 102, Rooms 1-26 & Conference Room, Harbor City, CA 90710 | 2017-09-08 |
1174041347 | Cb Carehome, Inc | Skilled Nursing Facility | 23331 Maltby Place, Harbor City, CA 90710 | 2017-09-07 |
1649705682 | Gina Guillaume | Student in an Organized Health Care Education/Training Program | 1403 West Lomita Blvd Suite 200, Harbor City, CA 90710 | 2017-04-27 |
1760843213 | Karen Savoni | Social Worker | 25975 Normandie Avenue, Harbor City, CA 90710 | 2016-03-11 |
1699148593 | Kaiser Permanente | Health Maintenance Organization | 25965 S. Normandie Aveune, Harbor City, CA 90710 | 2015-11-02 |
1164778148 | Thermon Lenelle Carrier | Driver | 1332 W. 254th St, Apt E, Harbor City, CA 90710 | 2012-07-27 |
Find all providers in zip 90710 |
Taxonomy Code | 2085B0100X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Body Imaging |
A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154480713 | Walfrido G. Castelo | Radiology | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2006-12-08 |
1760541320 | Vadim Tsesin | Radiology | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2006-12-08 |
1023185238 | Hung D Tran | Radiology | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2006-11-30 |
1568539377 | Ramiro Escobar | Radiology | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2006-11-29 |
1205903135 | Dennis Ming Kang Hsueh | Radiology | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2006-11-29 |
1306913264 | Augusto R. Salceda | Radiology | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2006-11-29 |
1790852705 | Monte R. Friedman | Radiology | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2006-11-29 |
1528135530 | Kyu S. Jung | Radiology | 25825 Vermont Ave, Harbor City, CA 90710-3518 | 2006-11-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730795881 | Valerie Rondone | Radiology | 2574 Raleigh Way, El Dorado Hills, CA 95762-6973 | 2020-09-23 |
1558997387 | Hope & Trust Trading LLC | Radiology | 318 W Colorado St #2, Glendale, CA 91204 | 2020-03-12 |
1417416124 | Adventist Health Physicians Network | Radiology | 155 Solano St Ste 101, Corning, CA 96021-3511 | 2019-03-13 |
1770068991 | Reham Aboughali | Radiology | 20349 Anza Ave Apt 27, Torrance, CA 90503-7410 | 2018-10-03 |
1962910513 | Excel Imaging Center Inc | Radiology | 13071 Brookhurst St Ste 100, Garden Grove, CA 92843-5514 | 2018-01-17 |
1467972315 | Radtech Services Inc | Radiology | 2826 Racine St, Simi Valley, CA 93065-2730 | 2017-06-22 |
1619363496 | Nathan Ashley | Radiology | 620 N Bonhill Rd, Los Angeles, CA 90049-2302 | 2015-04-08 |
1851709984 | Reveal Diagnostics, LLC | Radiology | 6080 Hellyer Ave, Suite 175, San Jose, CA 95138-1052 | 2014-08-01 |
1770912784 | William George Hayden | Radiology | 20 Ciervos Rd, Portola Valley, CA 94028-8107 | 2013-11-11 |
1215362942 | Reveal Diagnostics LLC | Radiology | 4217 Piedmont Avenue, Suite B, Oakland, CA 94611 | 2013-09-12 |
Find all providers with the same taxonomy |
City | HARBOR CITY |
Zip Code | 90710 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.