Healthcare Provider Details

I. General information

NPI: 1154830115
Provider Name (Legal Business Name): MS. ELSA KARMINA LINARES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2017
Last Update Date: 07/21/2022
Certification Date: 01/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43520 DIVISION ST
LANCASTER CA
93535-4089
US

IV. Provider business mailing address

43845 10TH ST W STE 2B
LANCASTER CA
93534-4800
US

V. Phone/Fax

Practice location:
  • Phone: 661-266-4783
  • Fax: 661-266-1210
Mailing address:
  • Phone: 661-940-9094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number105075
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: