Healthcare Provider Details

I. General information

NPI: 1952210825
Provider Name (Legal Business Name): LINDA E INIGUEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 N RAYMOND AVE
PASADENA CA
91103-1819
US

IV. Provider business mailing address

359 W NEWBURGH ST
GLENDORA CA
91740-5940
US

V. Phone/Fax

Practice location:
  • Phone: 626-396-5920
  • Fax: 626-791-6251
Mailing address:
  • Phone: 626-250-5693
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: