Active NPI
June Weinstein&Associates LLC
- Primary Care Clinic/Center
- Villa Park, CA
National Provider Identifier
1114321460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- G21109
- Legal business name
- JUNE WEINSTEIN&ASSOCIATES LLC
- Practice address
- 17853 Santiago Blvd
Suite 354
Villa Park, CA 92861-4113 - Phone
- (714) 974-3828
- Fax
- (714) 974-4461
- NPI assigned
- Oct 15, 2014
- Organization subpart
- Yes
- Parent organization
- YES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jack NMN Weinstein, M.D.
- Title
- Cfo and Medical Consultant
- Phone
- (714) 323-8082
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | G21109 | CA | Primary |
Addresses
Primary practice location
17853 Santiago Blvd
Suite 354
Villa Park, CA 92861-4113
Mailing address
17853 Santiago Blvd
Suite 354
Villa Park, CA 92861-4113
Phone (714) 974-3828
National Provider Directory
National Provider Directory- Part of
- June Weinsteinassociates LLC
Locations
17853 Santiago Blvd
Ste 354
Villa Park, CA 92861
Phone (714) 974-3828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413331200000",
"number": "1114321460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17853 SANTIAGO BLVD",
"address_2": "SUITE 354",
"city": "VILLA PARK",
"state": "CA",
"postal_code": "928614113",
"telephone_number": "714-974-3828",
"fax_number": "714-974-4461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17853 SANTIAGO BLVD",
"address_2": "SUITE 354",
"city": "VILLA PARK",
"state": "CA",
"postal_code": "928614113",
"telephone_number": "714-974-3828",
"fax_number": "714-974-4461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUNE WEINSTEIN&ASSOCIATES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "YES",
"enumeration_date": "2014-10-15",
"last_updated": "2014-10-15",
"status": "A",
"authorized_official_last_name": "WEINSTEIN",
"authorized_official_first_name": "JACK",
"authorized_official_middle_name": "NMN",
"authorized_official_title_or_position": "CFO AND MEDICAL CONSULTANT",
"authorized_official_telephone_number": "714-323-8082",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "CA",
"license": "G21109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Villa Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.