Healthcare Provider Details

I. General information

NPI: 1104730217
Provider Name (Legal Business Name): DANIEL GEORG WARRING
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5999 TOPANGA CANYON BLVD
WOODLAND HILLS CA
91367-3623
US

IV. Provider business mailing address

28920 SILVER SADDLE CIR APT 101
CANYON COUNTRY CA
91387-1764
US

V. Phone/Fax

Practice location:
  • Phone: 818-390-5038
  • Fax:
Mailing address:
  • Phone: 805-717-1805
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number191328AP
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: