Martin E. Wareham

LBN: Martin E. Wareham
Martin E. Wareham is an health care organization with primary practice located at 301 S Moorpark Rd , Thousand Oaks CA 91361-1008. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Martin E. Wareham can be contacted via phone (805) 379-9646, or through Wareham, Martin E via phone (805) 379-9646.

Contact Information

Primary practice address
301 S Moorpark Rd Thousand Oaks CA 91361-1008
Phone: (805) 379-9646
Fax: (805) 379-0611
Website:
Map and Directions
Authorized official contact:
Name: Wareham, Martin E Doctor of Medicine (MD)
Phone: (805) 379-9646

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G37934 California

Profile Details

NPI number 1902002884
LBN Legal business name Martin E. Wareham
DBA Doing business as
Authorized official Wareham, Martin E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 26th, 2007
Last updated Oct 10th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902002884 NPPES
California Other G37934 LICENSE

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