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DR. LINDA M. WARNER D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1609814854

Individual Registrant:
DR. LINDA M. WARNER D.O.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
17871 SANTIAGO BLVD STE 206  VILLA PARK, CA 92861-4118 US
Tel: 714-974-1362  Fax: 714-974-3145

Contact information for business:
17871 SANTIAGO BLVD STE 206  VILLA PARK, CA 92861-4118 US
Tel: 714-974-1362  Fax: 714-974-3145

Registration Information:
NPI: 1609814854
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
CA20A6111

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BLUE SHIELD ID #020A6111001
LICENSE20A6111CA01
HEALTH NET ID #05697601
00AX61110CA05
RAILROAD08005078301




HEALTH CARE JOBS CA - Page 1



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