Healthcare Provider Details

I. General information

NPI: 1881854941
Provider Name (Legal Business Name): LINNA KHO M.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINNA LINNA MD

II. Dates (important events)

Enumeration Date: 06/12/2008
Last Update Date: 07/28/2020
Certification Date: 07/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2028 KIOWA CREST DR #1
DIAMOND BAR CA
91765-3262
US

IV. Provider business mailing address

2028 KIOWA CREST DR #1
DIAMOND BAR CA
91765-3262
US

V. Phone/Fax

Practice location:
  • Phone: 909-979-4419
  • Fax:
Mailing address:
  • Phone: 909-247-5092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA.101703
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA101703
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: