Provider Demographics
NPI:1558484006
Name:WEISSMAN, RICHARD ASHER (MS, L AC, DIPLA)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:ASHER
Last Name:WEISSMAN
Suffix:
Gender:M
Credentials:MS, L AC, DIPLA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1346
Mailing Address - Street 2:
Mailing Address - City:ANGELS CAMP
Mailing Address - State:CA
Mailing Address - Zip Code:95222-1346
Mailing Address - Country:US
Mailing Address - Phone:209-736-9484
Mailing Address - Fax:209-736-9480
Practice Address - Street 1:PO BOX 1346
Practice Address - Street 2:
Practice Address - City:ANGELS CAMP
Practice Address - State:CA
Practice Address - Zip Code:95222-1346
Practice Address - Country:US
Practice Address - Phone:209-736-9484
Practice Address - Fax:209-736-9480
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2018-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6909171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist