Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | A-98901 | CA |
N | 207KA0200X | Allergist | D0062093 | MD |
N | 207R00000X | Internist | D0062093 | MD |
N | 111NI0900X | Internist | D0062093 | MD |
NPI | 1184798001 |
---|---|
Provider Name | Warner W Carr |
First Address | Mission Viejo, CA 92691-6410 |
Second Address | Mission Viejo, CA 92691-6410 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2006 |
Last Update Date | 12/02/2008 |