Provider Demographics
NPI:1578597506
Name:WARSHAWSKY, ARTHUR BENJAMIN (MD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:BENJAMIN
Last Name:WARSHAWSKY
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 1:3231 WARING COURT
Mailing Address - Street 2:SUITE B
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92056
Mailing Address - Country:US
Mailing Address - Phone:760-726-5633
Mailing Address - Fax:760-726-1277
Practice Address - Street 1:3231 WARING COURT
Practice Address - Street 2:SUITE B
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92056
Practice Address - Country:US
Practice Address - Phone:760-726-5633
Practice Address - Fax:760-726-1277
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC32686208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAODC326860Medicaid
A35035Medicare UPIN
CAC32686Medicare ID - Type Unspecified