Provider Demographics
NPI:1851398382
Name:WEINBERG, ALAN C (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:C
Last Name:WEINBERG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:301 W BASTANCHURY RD
Mailing Address - Street 2:# 180
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-3419
Mailing Address - Country:US
Mailing Address - Phone:714-870-5970
Mailing Address - Fax:714-870-4792
Practice Address - Street 1:301 W BASTANCHURY RD
Practice Address - Street 2:#180
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-3427
Practice Address - Country:US
Practice Address - Phone:714-870-5970
Practice Address - Fax:714-870-4792
Is Sole Proprietor?:No
Enumeration Date:2005-06-30
Last Update Date:2021-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG47941208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G479410Medicaid
CA00G479410Medicaid
CA340004465Medicare PIN
CAWG47941AMedicare PIN