Healthcare Provider Details
I. General information
NPI: 1891443461
Provider Name (Legal Business Name): LINQ MEDICAL SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/14/2022
Last Update Date: 03/14/2022
Certification Date: 03/14/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3612 1/2 E 1ST ST
LOS ANGELES CA
90063-2326
US
IV. Provider business mailing address
3612 1/2 E 1ST ST
LOS ANGELES CA
90063-2326
US
V. Phone/Fax
- Phone: 323-264-7796
- Fax:
- Phone: 323-264-7796
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0200X |
| Taxonomy | Critical Care Medicine (Internal Medicine) Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0103X |
| Taxonomy | Foot & Ankle Surgery Podiatrist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
GABRIEL
J.
HALPERIN
Title or Position: CEO
Credential: DPM
Phone: 323-264-7796