Provider Demographics
NPI:1669629317
Name:WEITZBUCH, HAL MARCUS (MD, MS, FAAD)
Entity Type:Individual
Prefix:DR
First Name:HAL
Middle Name:MARCUS
Last Name:WEITZBUCH
Suffix:
Gender:M
Credentials:MD, MS, FAAD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:23501 PARK SORRENTO STE 216
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91302-1308
Mailing Address - Country:US
Mailing Address - Phone:818-222-7495
Mailing Address - Fax:818-222-7498
Practice Address - Street 1:23501 PARK SORRENTO STE 216
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91302-1308
Practice Address - Country:US
Practice Address - Phone:818-222-7495
Practice Address - Fax:818-222-7498
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-25
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA 121615207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology