Individual ProviderPaul M WeidoffAnesthesiologyAllopathic & Osteopathic PhysiciansPractice Address3315 Watt Ave, Sacramento, CA 95821-3600(916) 481-6800PECOS EnrollmentBased on the most recent information from CMS, provider Paul M Weidoff does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 25 days ago.Profile DetailsProvider ID1427050830Provider TypeIndividualFull NameWeidoff, Paul MTitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date8/15/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address3315 Watt Ave, Sacramento, CA 95821-3600Phone(916) 481-6800Fax(916) 481-1881Mailing LocationMailing AddressPO Box 660970, Sacramento, CA 95866-0970Phone(916) 481-6800Fax(916) 481-1881Provider TaxonomiesCodeDescriptionLicenseCode207L00000XPrimaryDescriptionAnesthesiologyAllopathic & Osteopathic PhysiciansLicenseG55182CaliforniaProvider IdentifiersIDDescriptionIssuerIDYYY20507YDescriptionMedicaidIssuerUnlistedCalifornia