Healthcare Provider Details

I. General information

NPI: 1932168424
Provider Name (Legal Business Name): LINDA L ZEINEH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2006
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 Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberA66668
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: