Provider Demographics
NPI:1821349465
Name:WEIMAR MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:WEIMAR MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAJA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOOMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-289-5185
Mailing Address - Street 1:26377 SAINT DAVID ST
Mailing Address - Street 2:
Mailing Address - City:LOMA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92354-4177
Mailing Address - Country:US
Mailing Address - Phone:909-289-5185
Mailing Address - Fax:
Practice Address - Street 1:13300 NEW AIRPORT RD STE 100
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602-7407
Practice Address - Country:US
Practice Address - Phone:530-823-5300
Practice Address - Fax:530-823-5301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-23
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty