Warren Scott Line Jr, MD | |
191 S Buena Vista St, Suite #320, Burbank, CA 91505-4554 | |
(818) 559-9727 | |
(818) 559-5514 |
Full Name | Warren Scott Line Jr |
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Gender | Male |
Speciality | Otolaryngology |
Experience | 43 Years |
Location | 191 S Buena Vista St, Burbank, California |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205918588 | NPI | - | NPPES |
6177618 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | G48150 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Saint Joseph Medical Ctr | Burbank, CA | Hospital |
Glendale Adventist Medical Center | Glendale, CA | Hospital |
Entity Name | Warren S Line Jr Md A Medical Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851550974 PECOS PAC ID: 4587724836 Enrollment ID: O20081117000776 |
Mailing Address | Practice Location Address |
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Warren Scott Line Jr, MD 191 S Buena Vista St, Suite #320, Burbank, CA 91505-4554 Ph: (818) 559-9727 | Warren Scott Line Jr, MD 191 S Buena Vista St, Suite #320, Burbank, CA 91505-4554 Ph: (818) 559-9727 |
Raffi-jean O Mesrobian, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2701 W Alameda Ave, Suite 307, Burbank, CA 91505 Phone: 818-848-7345 Fax: 818-848-0685 | |
Jill Mazza, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 191 S. Buena Vista St, Suite 320, Burbank, CA 91505 Phone: 818-559-9727 Fax: 818-559-5514 |