Active NPI
Warren S Line Jr MD a Medical Corporation
- Otolaryngology Physician
- Burbank, CA
National Provider Identifier
1851550974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- G48150
- Legal business name
- WARREN S LINE JR MD A MEDICAL CORPORATION
- Practice address
- 191 S Buena Vista St
Suite #320
Burbank, CA 91505 - Phone
- (818) 763-7366
- Fax
- (818) 763-1809
- NPI assigned
- Jun 4, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Warren Scott Line Jr., MD
- Title
- President
- Phone
- (818) 763-7366
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | G48150 | CA | Primary |
| Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 207YX0007X | G48150 | CA |
Addresses
Primary practice location
191 S Buena Vista St
Suite #320
Burbank, CA 91505
Mailing address
191 South Buena Vista Street
Suite #320
Burbank, CA 91505
Phone (818) 763-7366
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6177618 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- Burbank, CA
- NPI 1205918588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1212537600000",
"number": "1851550974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 SOUTH BUENA VISTA STREET",
"address_2": "SUITE #320",
"city": "BURBANK",
"state": "CA",
"postal_code": "91505",
"telephone_number": "818-763-7366",
"fax_number": "818-763-1809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 S BUENA VISTA ST",
"address_2": "SUITE #320",
"city": "BURBANK",
"state": "CA",
"postal_code": "91505",
"telephone_number": "818-763-7366",
"fax_number": "818-763-1809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARREN S LINE JR MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2008-06-04",
"last_updated": "2008-06-04",
"status": "A",
"authorized_official_last_name": "LINE",
"authorized_official_first_name": "WARREN",
"authorized_official_middle_name": "SCOTT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-763-7366",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "CA",
"license": "G48150",
"primary": true
},
{
"code": "207YX0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
"state": "CA",
"license": "G48150",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6177618",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.