Provider Demographics
NPI:1942313036
Name:PLESKOW, WARREN WILLIAM (MD)
Entity Type:Individual
Prefix:MR
First Name:WARREN
Middle Name:WILLIAM
Last Name:PLESKOW
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 1:317 N EL CAMINO REAL
Mailing Address - Street 2:SUITE 506
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-2816
Mailing Address - Country:US
Mailing Address - Phone:760-436-3988
Mailing Address - Fax:760-436-6521
Practice Address - Street 1:317 N EL CAMINO REAL
Practice Address - Street 2:SUITE 506
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-2816
Practice Address - Country:US
Practice Address - Phone:760-436-3988
Practice Address - Fax:760-436-6521
Is Sole Proprietor?:No
Enumeration Date:2006-08-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG038976207R00000X, 207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Not Answered207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A47657Medicare UPIN
G38976Medicare ID - Type Unspecified