Provider Demographics
NPI:1760652713
Name:WEBER, AKILAH FAIZAH (MD)
Entity Type:Individual
Prefix:DR
First Name:AKILAH
Middle Name:FAIZAH
Last Name:WEBER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:AKILAH
Other - Middle Name:FAIZAH
Other - Last Name:WEBER-LASHORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3020 CHILDRENS WAY
Mailing Address - Street 2:MC 5003
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-4223
Mailing Address - Country:US
Mailing Address - Phone:858-309-6300
Mailing Address - Fax:858-309-6301
Practice Address - Street 1:7920 FROST STREET
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-4223
Practice Address - Country:US
Practice Address - Phone:858-966-7484
Practice Address - Fax:858-966-4064
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125047533207V00000X
OH091677207V00000X
TXN7024207V00000X
CAC56035207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology