Healthcare Provider Details

I. General information

NPI: 1588981807
Provider Name (Legal Business Name): JANELLE JANA WARMINGTON M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2010
Last Update Date: 12/03/2021
Certification Date: 12/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

393 E WALNUT ST FL 3
PASADENA CA
91188-0001
US

IV. Provider business mailing address

393 E WALNUT ST FL 3
PASADENA CA
91188-0001
US

V. Phone/Fax

Practice location:
  • Phone: 877-608-0044
  • Fax:
Mailing address:
  • Phone: 877-608-0044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA129997
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: