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Contact Information

WARREN S LINE JR MD A MEDICAL CORPORATION
191 S BUENA VISTA ST
SUITE #320
BURBANK, CA91505
 Phone: 818-763-7366
 Fax: 818-763-1809
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for WARREN S LINE JR MD A MEDICAL CORPORATION

NPI # 1851550974
LBN Legal business name WARREN S LINE JR MD A MEDICAL CORPORATION
Authorized official WARREN LINE - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/04/2008
Last updated 06/04/2008 - About 18 years ago
Identifiers
CA License # G48150
CA Medicaid 6177618
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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