# WARREN C STOUT MD A MEDICAL CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972647493
- **Authorized official:** WARREN C. STOUT M.D. (PRESIDENT)
- **Authorized official phone:** (310) 202-6204

## Contact information

- **Practice address:** 800 E. COLORADO BLVD., SUITE 260, PASADENA, CA 91101
- **Practice address phone:** (626) 449-6494
- **Practice address fax:** (626) 449-0313
- **Mailing address:** 800 E. COLORADO BLVD., SUITE 260, PASADENA, CA 91101
- **Mailing address phone:** (626) 449-6494
- **Mailing address fax:** (626) 449-0813

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 9540699880 | CA | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 06/16/2015