Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | G038976 | CA |
N | 111NI0900X | Internist | G038976 | CA |
N | 207RA0201X | Internist - Allergy & Immunology | G038976 | CA |
NPI | 1942313036 |
---|---|
Provider Name | Mr. Warren William Pleskow |
First Address | Encinitas, CA 92024-2816 |
Second Address | Encinitas, CA 92024-2816 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
A47657 | (02) |