Organization
WARREN C STOUT MD A MEDICAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN C. STOUT M.D. (PRESIDENT)
(310) 202-6204
Entity
Organization
Contact information
Practice address
800 E. COLORADO BLVD., SUITE 260, PASADENA, CA 91101
(626) 449-6494
(626) 449-0313
Mailing address
800 E. COLORADO BLVD., SUITE 260, PASADENA, CA 91101
(626) 449-6494
(626) 449-0813
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
9540699880
CA
Other
Enumeration date
02/16/2007
Last updated
06/16/2015
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