Healthcare Provider Details

I. General information

NPI: 1770080202
Provider Name (Legal Business Name): LINDA JAMES MD FAMILY PRACTICE AND WOUND CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2018
Last Update Date: 07/05/2024
Certification Date: 07/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44151 15TH ST W STE 211
LANCASTER CA
93534
US

IV. Provider business mailing address

19590 GRIFFITH DR
SANTA CLARITA CA
91350-1764
US

V. Phone/Fax

Practice location:
  • Phone: 661-949-5522
  • Fax:
Mailing address:
  • Phone: 951-479-2050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: LINDA JAMES
Title or Position: MD
Credential: MD
Phone: 951-479-2050