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Organization
MARTIN E. WAREHAM
Active
Organization
MARTIN E. WAREHAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN E WAREHAM M.D. (OWNER)
(805) 379-9646
Entity
Organization
Contact information
Practice address
301 S MOORPARK RD, THOUSAND OAKS, CA 91361-1008
(805) 379-9646
(805) 379-0611
Mailing address
301 S MOORPARK RD, THOUSAND OAKS, CA 91361-1008
(805) 379-9646
(805) 379-0611
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G37934
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G37934
LICENSE
CA
Enumeration date
06/26/2007
Last updated
10/10/2007
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