Provider Demographics
NPI:1285630038
Name:WEINBERGER, GEORGE SYLVESTER (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:SYLVESTER
Last Name:WEINBERGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10309 SANTA MONICA BLVD
Mailing Address - Street 2:# 300
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-5007
Mailing Address - Country:US
Mailing Address - Phone:310-553-2777
Mailing Address - Fax:310-282-8567
Practice Address - Street 1:10309 SANTA MONICA BLVD
Practice Address - Street 2:# 300
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5007
Practice Address - Country:US
Practice Address - Phone:310-553-2777
Practice Address - Fax:310-282-8567
Is Sole Proprietor?:No
Enumeration Date:2005-06-27
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG26906207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA91012Medicare UPIN
CAG26906Medicare ID - Type Unspecified