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Contact Information

WARREN S LINE JR, MD
191 S BUENA VISTA ST
SUITE #320
BURBANK, CA91505-4554
 Phone: 818-559-9727
 Fax: 818-559-5514
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for WARREN S LINE JR · (Male)

NPI # 1205918588
Status Active
Credentials MD
Entity Individual
Enumeration date 10/19/2006
Last updated 03/18/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # G48150
  • CA Medicaid 6177618
Hospital affiliation(s)
  • GLENDALE ADVENTIST MEDICAL CENTER - (Acute Care)
    1509 E WILSON TERRACE
    GLENDALE, CA 91206
  • PROVIDENCE SAINT JOSEPH MEDICAL CTR - (Acute Care)
    501 SOUTH BUENA VISTA
    BURBANK, CA 91505
  • VERDUGO HILLS HOSPITAL - (Acute Care)
    1812 VERDUGO BLVD
    GLENDALE, CA 91209
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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