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Individual

DR. MARK EVAN WARLEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3720 THIRD AVE, SAN DIEGO, CA 92103-4112
(619) 298-7221
(619) 298-8609
Mailing address
3720 THIRD AVE, SAN DIEGO, CA 92103-4112
(619) 298-7221
(619) 298-8609

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A52492
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8390034
CA
Enumeration date
04/18/2006
Last updated
01/04/2011
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