Healthcare Provider Details

I. General information

NPI: 1821356692
Provider Name (Legal Business Name): OMEED WAREJ M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2012
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 WILSHIRE BLVD STE 515
BEVERLY HILLS CA
90212-2947
US

IV. Provider business mailing address

9461 CHARLEVILLE BLVD # 351
BEVERLY HILLS CA
90212-3017
US

V. Phone/Fax

Practice location:
  • Phone: 310-659-2400
  • Fax: 310-595-2642
Mailing address:
  • Phone: 310-659-2400
  • Fax: 310-595-2642

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number128861
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number128861
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: