Individual
DR. VENKAT WARREN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
925 E SAN ANTONIO DR, SUITE 12, LONG BEACH, CA 90807-2210
(562) 423-1126
(562) 423-2333
Mailing address
925 E SAN ANTONIO DR, SUITE 12, LONG BEACH, CA 90807-2210
(562) 423-1126
(562) 423-2333
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A30187
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A30187
—
CA
Enumeration date
06/10/2006
Last updated
07/09/2007
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