Healthcare Provider Details

I. General information

NPI: 1578881769
Provider Name (Legal Business Name): ELIZABETH SHURELL LINEHAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH MARIE SHURELL

II. Dates (important events)

Enumeration Date: 05/12/2010
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DEPARTMENT OF SURGERY 10833 LE CONTE AVE. 72-227 CHS
LOS ANGELES CA
90095-0001
US

IV. Provider business mailing address

10833 LE CONTE AVE
LOS ANGELES CA
90095-0001
US

V. Phone/Fax

Practice location:
  • Phone: 310-794-4315
  • Fax:
Mailing address:
  • Phone: 310-794-4315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberDR.0077653
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: