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Dr. Larry Mark Weisenthal, MD,PHD
Hematology & Oncology Physician in Huntington Beach, California
NPI 1568497519

Larry Mark Weisenthal is a Hematology & Oncology Physician based in Huntington Beach, CA and is specialized in Hematology & Oncology. Larry Mark Weisenthal practices in Huntington Beach, CA and has the professional credentials of MD,PHD. The NPI Number for Larry Mark Weisenthal is 1568497519 and holds a License No. 66724 (California).

The current practice location address for Larry Mark Weisenthal is 16512 Burke Lane, Huntington Beach, CA and can be reached out via phone at 714-596-2100 and via fax at 714-596-2110.

Location: 16512 Burke Lane, Huntington Beach, CA, 92647-4538
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568497519
Provider Name
Larry Mark Weisenthal
Credential
MD,PHD
Provider Entity Type
Individual
Gender
Male
Address
16512 Burke Lane, Huntington Beach, CA, 92647-4538
Phone Number
714-596-2100
Fax Number
714-596-2110
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
G41204 01 CA MEDICARE PROVIDER #
institution
Provider Business Practice Location Address Details
Address
16512 Burke Lane
City
Huntington Beach
State
California
Zip
92647-4538
Phone Number
714-596-2100
Fax Number
714-596-2110
person
Provider Business Mailing Address Details
Address
16512 Burke Lane
City
Huntington Beach
State
California
Zip
92647-4538
Phone Number
714-596-2100
Fax Number
714-596-2110
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
66724 (California)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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