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NPI Code Detail

MEDICARE: MICHAEL WARING D.O.

MEDICARE: MICHAEL WARING D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician20A18639CA

General Provider Information

NPI Number : 1679956809
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL WARING D.O.
Provider Business Mailing Address
First Line : 7246 REMMET AVE
Second Line :
City : CANOGA PARK
State : CA
Zip : 91303-1531
Country : US
Telephone Number : 818-206-0630
Fax Number :
Provider Business Practice Location Address
First Line : 1147 HARTNELL AVE
Second Line :
City : REDDING
State : CA
Zip : 96002-2113
Country : US
Telephone Number : 530-222-7213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2015
Last Update Date : 03/05/2021

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