Healthcare Provider Details

I. General information

NPI: 1205754652
Provider Name (Legal Business Name): LINDA FLINN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 MIRA MAR AVE
LONG BEACH CA
90804-4139
US

IV. Provider business mailing address

1111 MIRA MAR AVE
LONG BEACH CA
90804-4139
US

V. Phone/Fax

Practice location:
  • Phone: 310-721-8758
  • Fax: 310-721-8758
Mailing address:
  • Phone: 310-721-8758
  • Fax: 310-721-8758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP95031759
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: