Healthcare Provider Details

I. General information

NPI: 1033162409
Provider Name (Legal Business Name): LINDA FAY KUTZBACH FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: LINDA FAY KING MSN

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16111 PLUMMER ST BLDG 99
NORTH HILLS CA
91343-2036
US

IV. Provider business mailing address

16111 PLUMMER ST BLDG 99
NORTH HILLS CA
91343-2036
US

V. Phone/Fax

Practice location:
  • Phone: 818-891-7711
  • Fax: 818-895-5817
Mailing address:
  • Phone: 818-891-7711
  • Fax: 818-895-5817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number190049
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number10245
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: