Healthcare Provider Details

I. General information

NPI: 1275464927
Provider Name (Legal Business Name): LINNEA V SMITH PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINNEA V RAYNES PA

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24953 PASEO DE VALENCIA STE 7A
LAGUNA HILLS CA
92653-4342
US

IV. Provider business mailing address

24953 PASEO DE VALENCIA STE 7A
LAGUNA HILLS CA
92653-4342
US

V. Phone/Fax

Practice location:
  • Phone: 949-829-2779
  • Fax: 949-339-3009
Mailing address:
  • Phone: 949-829-2779
  • Fax: 949-339-3009

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberPA68332
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: