MEDICARE: JENNIFER LINZMEYER D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	20A7352	CA

General Provider Information

NPI Number	:	1013911551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER LINZMEYER D.O.

Provider Business Mailing Address
First Line	:	411 N LAKEVIEW AVE
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92807-3028
Country	:	US
Telephone Number	:	714-279-4567
Fax Number	:	714-279-5908

Provider Business Practice Location Address
First Line	:	441 N LAKEVIEW AVE
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92807-3028
Country	:	US
Telephone Number	:	714-279-4567
Fax Number	:	714-278-5908

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2005
Last Update Date	:	12/02/2021

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