Provider Demographics
NPI:1336360650
Name:LENT, WARREN MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:WARREN
Middle Name:MICHAEL
Last Name:LENT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:150 N ROBERTSON BLVD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211
Mailing Address - Country:US
Mailing Address - Phone:310-652-6500
Mailing Address - Fax:310-652-5216
Practice Address - Street 1:150 N ROBERTSON BLVD
Practice Address - Street 2:SUITE 140
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211
Practice Address - Country:US
Practice Address - Phone:310-652-6500
Practice Address - Fax:310-652-5216
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2012-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG71805208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
E72245Medicare UPIN