Steven J Weiss, MD
Individual provider Active NPI Gastroenterology Physician · Downey, CA
NPI 1457569162 · NPPES record last updated Mar 7, 2008
Key facts
- NPI
- 1457569162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gastroenterology Physician 207RG0100X
- License
- G39288 (CA)
- Practice address
- 11480 Brookshire Av
#107
Downey, CA 90242-5003 - Phone
- (562) 861-0897
- Fax
- (310) 659-6237
- NPI assigned
- May 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G39288 | CA | MD | Gastroenterology Physician |
| 39288 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Del Amo Gardens Convalescent Center, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | G39288 | CA | Yes |
Addresses
Primary practice location
11480 Brookshire Av
#107
Downey, CA 90242-5003
Mailing address
11480 Brookshire Av
#107
Downey, CA 90242-5003
Phone (562) 861-0897
Other providers in Downey, CA
- Wayne R. Weber
- Lauren Lejune Wedlow
- Chen Jon Wei
- Katherine Wei
- Yunfei Wei
- Walt Weiss
- Edna Dulce Weller - Fusco
- Siliang Wen
- Victor K Weng
- Patricia West
All providers in Downey, CA · Gastroenterology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.