Provider Demographics
NPI:1114321460
Name:JUNE WEINSTEIN&ASSOCIATES LLC
Entity Type:Organization
Organization Name:JUNE WEINSTEIN&ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO AND MEDICAL CONSULTANT
Authorized Official - Prefix:DR
Authorized Official - First Name:JACK
Authorized Official - Middle Name:NMN
Authorized Official - Last Name:WEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-323-8082
Mailing Address - Street 1:17853 SANTIAGO BLVD
Mailing Address - Street 2:SUITE 354
Mailing Address - City:VILLA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:92861-4113
Mailing Address - Country:US
Mailing Address - Phone:714-974-3828
Mailing Address - Fax:714-974-4461
Practice Address - Street 1:17853 SANTIAGO BLVD
Practice Address - Street 2:SUITE 354
Practice Address - City:VILLA PARK
Practice Address - State:CA
Practice Address - Zip Code:92861-4113
Practice Address - Country:US
Practice Address - Phone:714-974-3828
Practice Address - Fax:714-974-4461
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-10-15
Last Update Date:2014-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG21109261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care