Individual
HEATH WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8831 VENICE BLVD, LOS ANGELES, CA 90034-3223
(424) 317-1580
Mailing address
8831 VENICE BLVD, LOS ANGELES, CA 90034-3223
(424) 317-1580
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
R15179080924
CA
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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