Healthcare Provider Details

I. General information

NPI: 1750404430
Provider Name (Legal Business Name): JOSEPH L VANDERLINDEN MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1766 N RIVERSIDE AVE STE A
RIALTO CA
92376-8085
US

IV. Provider business mailing address

1766 N RIVERSIDE AVE STE A
RIALTO CA
92376-8085
US

V. Phone/Fax

Practice location:
  • Phone: 909-881-7200
  • Fax: 909-881-7289
Mailing address:
  • Phone: 909-820-7200
  • Fax: 909-820-7289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberG80388
License Number StateCA

VIII. Authorized Official

Name: JOSEPH VANDERLINDEN
Title or Position: OWNER
Credential: MD
Phone: 909-820-7200