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Individual

DOUGLAS WARNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3609 CANANEA DR, ENCINO, CA 91436-4115
(805) 559-0192
Mailing address
3609 CANANEA DR, ENCINO, CA 91436-4115

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
A69340
CA

Other

Enumeration date
03/25/2024
Last updated
03/25/2024
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