Healthcare Provider Details

I. General information

NPI: 1912263641
Provider Name (Legal Business Name): WARREN M. LENT MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2012
Last Update Date: 04/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N ROBERTSON BLVD STE 140
BEVERLY HILLS CA
90211-2143
US

IV. Provider business mailing address

150 N ROBERTSON BLVD STE 140
BEVERLY HILLS CA
90211-2143
US

V. Phone/Fax

Practice location:
  • Phone: 310-652-6500
  • Fax:
Mailing address:
  • Phone: 310-652-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberG71805
License Number StateCA

VIII. Authorized Official

Name: WARREN LENT
Title or Position: PRESIDENT
Credential: MD
Phone: 310-652-6500