Organization Active NPI

June Weinstein&Associates LLC

  • Primary Care Clinic/Center
  • Villa Park, CA
National Provider Identifier
1114321460
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G21109 Issued in CA
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
YESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.