Provider Demographics
NPI:1821356692
Name:WAREJ, OMEED (MD)
Entity type:Individual
Prefix:DR
First Name:OMEED
Middle Name:
Last Name:WAREJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 10658
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90213-3658
Mailing Address - Country:US
Mailing Address - Phone:310-858-6500
Mailing Address - Fax:
Practice Address - Street 1:2080 CENTURY PARK E STE 1405
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90067-2017
Practice Address - Country:US
Practice Address - Phone:310-858-6500
Practice Address - Fax:310-606-2648
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-30
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA128861207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine