| Irwin Kevin Weiss, MD | |
|
10833 Le Conte Avenue, 12-441 Mdcc, Los Angeles, CA 90095 | |
| (310) 206-3952 | |
| (310) 206-0209 |
| Full Name | Irwin Kevin Weiss |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Pediatric Critical Care Medicine |
| Location | 10833 Le Conte Avenue, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013013317 | NPI | - | NPPES |
| GR0053510 | Medicaid | CA | |
| 00G746280 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | G74628 (California) | Secondary |
| 2080P0203X | Pediatrics - Pediatric Critical Care Medicine | G74628 (California) | Primary |
| Entity Name | Uc Regents |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982667663 PECOS PAC ID: 4587568829 Enrollment ID: O20031119001005 |
| Mailing Address | Practice Location Address |
|---|---|
| Irwin Kevin Weiss, MD 10833 Le Conte Avenue, 12-441 Mdcc, Los Angeles, CA 90095 Ph: (310) 206-3952 | Irwin Kevin Weiss, MD 10833 Le Conte Avenue, 12-441 Mdcc, Los Angeles, CA 90095 Ph: (310) 206-3952 |
Dr. Mark Hendrik Corden, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-8893 Fax: 323-361-1814 | |
Ms. Roberta Miyeko Kato, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd, Los Angeles, CA 90027 Phone: 323-361-2101 Fax: 323-361-1355 | |
Meera Dhirubhai Kanani, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 1240 N Mission Rd, Los Angeles, CA 90033 Phone: 323-226-3691 | |
Dr. Marisa Danbee Oh, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 2020 Zonal Ave, Lac-usc Med Ctr- Interns/residents Building, Room 112, Los Angeles, CA 90089 Phone: 626-241-0704 | |
Dr. Tiffany Prugpichailers Pedigo, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 757 Westwood Plz, B711 Rrumc, Los Angeles, CA 90095 Phone: 310-267-9129 | |
Neema Izadi, MD, MS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 4650 W Sunset Blvd # 75, Los Angeles, CA 90027 Phone: 323-361-2501 Fax: 323-361-1191 | |
Jennifer Stephanie Menjivar-lopez, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3671 W 6th St Ste A, Los Angeles, CA 90020 Phone: 213-235-2500 |