MEDICARE: LYN MARIE PINTELON DO

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	207Q00000X	Family Medicine Physician	20A7308	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1669467148
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LYN MARIE PINTELON DO

Provider Business Mailing Address
First Line	:	8990 GARFIELD ST
Second Line	:	STE 6
City	:	RIVERSIDE
State	:	CA
Zip	:	92503-3922
Country	:	US
Telephone Number	:	951-358-0784
Fax Number	:	951-354-7583

Provider Business Practice Location Address
First Line	:	8990 GARFIELD ST
Second Line	:	STE 6
City	:	RIVERSIDE
State	:	CA
Zip	:	92503-3922
Country	:	US
Telephone Number	:	951-358-0784
Fax Number	:	951-354-7583

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

Provider Enumeration Date	:	09/12/2005
Last Update Date	:	09/24/2010

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Directions to “ LYN MARIE PINTELON DO” Practice Location

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