Most Relevant Information
Provider Data
| NPI Number: | 1003034711 |
| Provider Name: | SAM WEISENBURGER M.A |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/20/2007 |
| Last Updated: | 09/15/2016 |
Provider Practice Location
5348 UNIVERSITY AVE STE 101
SAN DIEGO
CA
921058025
Practice Location Phone/Fax
| Phone: | 6192292999 |
| Fax: |
Provider Mailing Location
4448 UNIVERSITY AVE APT 2
SAN DIEGO
CA
921051759
Provider Mailing Phone/Fax
| Phone: | 6192292999 |
| Fax: |