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Individual

DR. WARREN JASON WISNOFF

Active
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Individual

DR. WARREN JASON WISNOFF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20A9093
CA
207R00000X
Internal Medicine Physician
Primary
20A9093
CA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
20A9093
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00AX90930
CA
01
AN893Y
MEDICARE PTAN-URGENT CARE
CA
01
AN893Z
MEDICARE PTAN-SOUTHWEST
CA
Enumeration date
01/13/2006
Last updated
09/01/2023
About Stedi
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