Healthcare Provider Details

I. General information

NPI: 1972576478
Provider Name (Legal Business Name): NORMAN ALLEN LINDER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 02/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8641 WILSHIRE BLVD 205
BEVERLY HILLS CA
90211-2900
US

IV. Provider business mailing address

8641 WILSHIRE BLVD 205
BEVERLY HILLS CA
90211-2900
US

V. Phone/Fax

Practice location:
  • Phone: 310-657-2202
  • Fax: 310-657-8871
Mailing address:
  • Phone: 310-657-2202
  • Fax: 310-657-8871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License NumberA60691
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: