Healthcare Provider Details

I. General information

NPI: 1053508168
Provider Name (Legal Business Name): LINDA L. ZEINEH, M.D., INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2007
Last Update Date: 08/17/2021
Certification Date: 08/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 W STEWART DR STE 608
ORANGE CA
92868-3857
US

IV. Provider business mailing address

1310 W STEWART DR STE 608
ORANGE CA
92868-3857
US

V. Phone/Fax

Practice location:
  • Phone: 657-722-1400
  • Fax: 657-722-1401
Mailing address:
  • Phone: 657-722-1400
  • Fax: 657-722-1401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberA66668
License Number StateCA

VIII. Authorized Official

Name: LINDA L ZEINEH
Title or Position: OWNER
Credential: M.D.
Phone: 657-722-1400