Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

John C Weaver MD a Professional Corporation

Organization General Practice Physician · NPI 1366577744

John C Weaver MD a Professional Corporation is a General Practice Physician in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

204 S Atlantic Blvd Ste 2
Los Angeles, CA 90022-1755
Phone: (323) 724-8164
Fax: (323) 724-9207
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence G35959 (CA)

Record details

NPI number1366577744
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Weaver — President · (323) 724-8164
NPI enumeratedFebruary 23, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 424, Culver City, CA 90232-0424

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