Judd, Marc Warren

Judd, Marc Warren is an individual health care provider with primary practice located at 301 Science Dr Suite 190, Moorpark CA 93021-2094. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Judd, Marc Warren can be contacted via phone (805) 531-9400.

Contact Information

Primary practice address
301 Science Dr Suite 190 Moorpark CA 93021-2094
Phone: (805) 531-9400
Fax: (805) 531-9499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X A66629 California

Profile Details

NPI number 1124025218
LBN Legal business name Judd, Marc Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2005
Last updated Sep 12th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124025218 NPPES
California Other A66629 STATE LICENSE

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