MEDICARE: LILIAN ESTRADA-LINDER MD

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	208600000X	Surgery Physician	9515	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	CC0460	OTHER	BCBS

General Provider Information

NPI Number	:	1700874161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LILIAN ESTRADA-LINDER MD

Provider Business Mailing Address
First Line	:	441 N LAKEVIEW AVE
Second Line	:	KAISER PERMANENTE , MEDICAL STAFF OFFICE 8TH FLOOR
City	:	ANAHEIM
State	:	CA
Zip	:	92807-3028
Country	:	US
Telephone Number	:	714-279-4130
Fax Number	:	714-279-4029

Provider Business Practice Location Address
First Line	:	441 N LAKEVIEW AVE
Second Line	:	KAISER PERMANENTE
City	:	ANAHEIM
State	:	CA
Zip	:	92807-3028
Country	:	US
Telephone Number	:	714-279-5879
Fax Number	:	714-279-4029

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

Provider Enumeration Date	:	10/10/2005
Last Update Date	:	11/29/2021

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