Organization
DIANA WARREN, D.O., P.C.
Active
Organization
DIANA WARREN, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA WALDROP WARREN D.O. (OWNER)
(661) 412-7784
Entity
Organization
Contact information
Practice address
4580 CALIFORNIA AVE, BAKERSFIELD, CA 93309-1104
(661) 327-4411
Mailing address
4580 CALIFORNIA AVE, BAKERSFIELD, CA 93309-1104
(661) 327-4411
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
DO523
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051516753
—
AL
01
—
20A11316
STATE LICENSE
CA
Enumeration date
11/13/2006
Last updated
09/17/2010
Update your record
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