Healthcare Provider Details

I. General information

NPI: 1639214950
Provider Name (Legal Business Name): LINDA S. ZELLERS LINDA ZELLERS, RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDA ZELLERS

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24411 HEALTH CENTER DR SUITE 350
LAGUNA HILLS CA
92653-3651
US

IV. Provider business mailing address

17 MONTIA
IRVINE CA
92620-2209
US

V. Phone/Fax

Practice location:
  • Phone: 949-457-7911
  • Fax: 949-583-9148
Mailing address:
  • Phone: 714-730-2631
  • Fax: 714-731-7968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License Number263468
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: