Active NPI
Weisenthal Cancer Group
- Clinical Medical Laboratory
- Huntington Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- WEISENTHAL CANCER GROUP
- Practice address
- 16512 Burke Lane
Huntington Beach, CA 92647-4538 - Phone
- (714) 596-2100
- NPI assigned
- Oct 24, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Larry Mark Weisenthal, M.D., PH.D.
- Title
- Medical Director
- Phone
- (714) 596-2100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | CA | Primary |
Addresses
Primary practice location
16512 Burke Lane
Huntington Beach, CA 92647-4538
Mailing address
16512 Burke Lane
Huntington Beach, CA 92647-4538
Phone (714) 596-2100
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0662326 | Weisenthal Cancer Group | Compliance | Jul 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
16512 Burke Ln
Huntington Beach, CA 92647
Phone (714) 596-2100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Huntington Beach, CA
- NPI 1568497519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199750400000",
"number": "1629257860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16512 BURKE LANE",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926474538",
"telephone_number": "714-596-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16512 BURKE LANE",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926474538",
"telephone_number": "714-596-2100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEISENTHAL CANCER GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-24",
"last_updated": "2008-01-08",
"status": "A",
"authorized_official_last_name": "WEISENTHAL",
"authorized_official_first_name": "LARRY",
"authorized_official_middle_name": "MARK",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "714-596-2100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D., PH.D."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.