Healthcare Provider Details

I. General information

NPI: 1417765249
Provider Name (Legal Business Name): WARREN MUEN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/26/2024
Last Update Date: 01/23/2026
Certification Date: 01/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4705 PICKFORD ST
LOS ANGELES CA
90019-5713
US

IV. Provider business mailing address

772 JAMACHA RD
EL CAJON CA
92019-3201
US

V. Phone/Fax

Practice location:
  • Phone: 628-286-7298
  • Fax:
Mailing address:
  • Phone: 628-286-7298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: