Healthcare Provider Details

I. General information

NPI: 1255283115
Provider Name (Legal Business Name): OMEED WAREJ MD, A PROFESSIONAL MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
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:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. OMEED WAREJ
Title or Position: OWNER
Credential: MD
Phone: 925-330-0837