Provider Demographics
NPI:1083919435
Name:WEISS, JAMES ELLIOT (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ELLIOT
Last Name:WEISS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 WESTCLIFF DR.
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660
Mailing Address - Country:US
Mailing Address - Phone:949-631-5171
Mailing Address - Fax:844-270-4702
Practice Address - Street 1:1501 WESTCLIFF DR.
Practice Address - Street 2:SUITE 210
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660
Practice Address - Country:US
Practice Address - Phone:949-631-5171
Practice Address - Fax:844-270-4702
Is Sole Proprietor?:No
Enumeration Date:2011-01-17
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA31826111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor