Healthcare Provider Details

I. General information

NPI: 1679556260
Provider Name (Legal Business Name): LINDA MARGULIES M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 MUIR RD VETERANS AFFAIRS (112)
MARTINEZ CA
94553-4668
US

IV. Provider business mailing address

150 MUIR RD VETERANS AFFAIRS (112)
MARTINEZ CA
94553-4668
US

V. Phone/Fax

Practice location:
  • Phone: 925-372-2600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberG48067
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: