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NPI Code Detail

MEDICARE: LINDA DARLIN DONOFRIO M.D.

MEDICARE:   LINDA DARLIN DONOFRIO  M.D.
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
1207L00000XAnesthesiology PhysicianG60347CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619138575
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA DARLIN DONOFRIO M.D.
Provider Business Mailing Address
First Line : 225 S LAKE AVE
Second Line : SUITE 535
City : PASADENA
State : CA
Zip : 91101-3005
Country : US
Telephone Number : 626-795-6596
Fax Number :
Provider Business Practice Location Address
First Line : 6000 SAN VICENTE BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90036-4404
Country : US
Telephone Number : 323-930-1040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2008
Last Update Date : 06/23/2008

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Directions to “ LINDA DARLIN DONOFRIO M.D.” Practice Location

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