Provider Demographics
NPI:1376709568
Name:STRAUSS, WARREN MARSHALL (MD)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:MARSHALL
Last Name:STRAUSS
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 1:1665 SCENIC AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-1443
Mailing Address - Country:US
Mailing Address - Phone:714-436-4444
Mailing Address - Fax:
Practice Address - Street 1:1665 SCENIC AVE STE 100
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-1443
Practice Address - Country:US
Practice Address - Phone:714-436-4444
Practice Address - Fax:714-436-4812
Is Sole Proprietor?:No
Enumeration Date:2008-08-06
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG61574207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G615740Medicaid