Provider Demographics
NPI:1295250389
Name:WAREJ, NEDA SARA (NP)
Entity type:Individual
Prefix:
First Name:NEDA
Middle Name:SARA
Last Name:WAREJ
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 ELK GROVE LN
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-1012
Mailing Address - Country:US
Mailing Address - Phone:949-354-1094
Mailing Address - Fax:
Practice Address - Street 1:11710 BARRINGTON CT
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90049-2930
Practice Address - Country:US
Practice Address - Phone:424-363-9980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95006705363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner