Provider Demographics
NPI:1093974222
Name:WARREN, AIMEE JOANNE (DO)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:JOANNE
Last Name:WARREN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:100 FALLS CANYON ROAD
Mailing Address - Street 2:
Mailing Address - City:AVALON
Mailing Address - State:CA
Mailing Address - Zip Code:90704-1563
Mailing Address - Country:US
Mailing Address - Phone:310-510-0700
Mailing Address - Fax:310-510-2938
Practice Address - Street 1:100 FALLS CANYON ROAD
Practice Address - Street 2:
Practice Address - City:AVALON
Practice Address - State:CA
Practice Address - Zip Code:90704-1563
Practice Address - Country:US
Practice Address - Phone:310-510-0700
Practice Address - Fax:310-510-2938
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-03
Last Update Date:2017-05-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA20A 11713207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine