Provider Demographics
NPI:1639185234
Name:WEEKS, BRIAN H (MD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:H
Last Name:WEEKS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3590 CAMINO DEL RIO NORTH
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-1716
Mailing Address - Country:US
Mailing Address - Phone:619-810-1202
Mailing Address - Fax:619-229-4938
Practice Address - Street 1:3590 CAMINO DEL RIO NORTH
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-1716
Practice Address - Country:US
Practice Address - Phone:619-810-1202
Practice Address - Fax:619-229-4938
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2015-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA77272207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A772720Medicaid
CAH63482Medicare UPIN
CA00A772720Medicaid