Healthcare Provider Details

I. General information

NPI: 1801932660
Provider Name (Legal Business Name): STUART A. LINDER, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9675 BRIGHTON WAY STE. 420
BEVERLY HILLS CA
90210-5100
US

IV. Provider business mailing address

11999 SAN VICENTE BLVD #440
LOS ANGELES CA
90049-5131
US

V. Phone/Fax

Practice location:
  • Phone: 310-275-4513
  • Fax:
Mailing address:
  • Phone: 310-471-5852
  • Fax: 310-471-3958

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberG74810
License Number StateCA

VIII. Authorized Official

Name: DR. STUART A. LINDER
Title or Position: OWNER
Credential: M.D.
Phone: 310-275-4513