Provider Demographics
NPI:1346651429
Name:A BETTER WEIGH, M.D.
Entity Type:Organization
Organization Name:A BETTER WEIGH, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-465-0586
Mailing Address - Street 1:1665 DOMINICAN WAY
Mailing Address - Street 2:SUITE 222
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95065-1580
Mailing Address - Country:US
Mailing Address - Phone:831-465-0586
Mailing Address - Fax:831-476-5292
Practice Address - Street 1:1665 DOMINICAN WAY
Practice Address - Street 2:SUITE 222
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95065-1580
Practice Address - Country:US
Practice Address - Phone:831-465-0586
Practice Address - Fax:831-476-5292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-12
Last Update Date:2014-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG29846207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty