Provider Demographics
NPI:1548924889
Name:LAWRENCE A WEINBERG MD INC
Entity type:Organization
Organization Name:LAWRENCE A WEINBERG MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:WEINBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:818-681-7895
Mailing Address - Street 1:18915 NORDHOFF ST STE 7
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324-3785
Mailing Address - Country:US
Mailing Address - Phone:747-237-7041
Mailing Address - Fax:747-237-7042
Practice Address - Street 1:18915 NORDHOFF ST STE 7
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324-3785
Practice Address - Country:US
Practice Address - Phone:747-237-7041
Practice Address - Fax:747-237-7042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-22
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty