Provider Demographics
NPI:1912050006
Name:WARNER, ROSALIND COHEN (MD)
Entity Type:Individual
Prefix:MRS
First Name:ROSALIND
Middle Name:COHEN
Last Name:WARNER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:673 MANDALAY BEACH RD
Mailing Address - Street 2:
Mailing Address - City:OXNARD
Mailing Address - State:CA
Mailing Address - Zip Code:93035-1051
Mailing Address - Country:US
Mailing Address - Phone:805-985-0758
Mailing Address - Fax:805-985-0768
Practice Address - Street 1:1280 S VICTORIA AVE
Practice Address - Street 2:#204
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-6555
Practice Address - Country:US
Practice Address - Phone:805-642-4830
Practice Address - Fax:805-642-3852
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG51968207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA93123Medicare UPIN