Provider Demographics
NPI:1851354765
Name:WARNER, ROBERT LORING (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:LORING
Last Name:WARNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:12845 POINTE DEL MAR WAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-3862
Mailing Address - Country:US
Mailing Address - Phone:858-794-7337
Mailing Address - Fax:858-794-7338
Practice Address - Street 1:12845 POINTE DEL MAR WAY
Practice Address - Street 2:SUITE 200
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-3862
Practice Address - Country:US
Practice Address - Phone:858-794-7337
Practice Address - Fax:858-794-7338
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2012-06-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA75696208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
1851354765Medicare UPIN