Healthcare Provider Details
I. General information
NPI: 1033538608
Provider Name (Legal Business Name): STEPHANIE J. WARSHESKI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/10/2014
Last Update Date: 01/22/2025
Certification Date: 01/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3800 W CHAPMAN AVE STE 3400
ORANGE CA
92868-1616
US
IV. Provider business mailing address
3800 W CHAPMAN AVE STE 3400
ORANGE CA
92868-1616
US
V. Phone/Fax
- Phone: 714-456-7733
- Fax:
- Phone: 714-456-7733
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | 274549 |
| License Number State | NY |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | A121952 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VX0000X |
| Taxonomy | Obstetrics Physician |
| License Number | A121952 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: