Healthcare Provider Details

I. General information

NPI: 1902835572
Provider Name (Legal Business Name): WARREN LOUIS GARNER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1450 SAN PABLO ST STE 6200
LOS ANGELES CA
90033-5331
US

IV. Provider business mailing address

900 HYDE ST
SAN FRANCISCO CA
94109-4806
US

V. Phone/Fax

Practice location:
  • Phone: 323-442-7920
  • Fax:
Mailing address:
  • Phone: 415-353-6255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberG85136
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: