Provider Demographics
NPI:1508055948
Name:WEBBER, PAUL T (CPO)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:T
Last Name:WEBBER
Suffix:
Gender:M
Credentials:CPO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2211 MICHIGAN AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90404-3905
Mailing Address - Country:US
Mailing Address - Phone:424-259-8551
Mailing Address - Fax:530-533-4617
Practice Address - Street 1:1000 VETERANS AVE
Practice Address - Street 2:SUITE A-744
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90095-6985
Practice Address - Country:US
Practice Address - Phone:424-259-8551
Practice Address - Fax:424-259-8554
Is Sole Proprietor?:No
Enumeration Date:2007-10-22
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist