Healthcare Provider Details

I. General information

NPI: 1720750334
Provider Name (Legal Business Name): LINK 2 MEDICAL GROUP PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2021
Last Update Date: 02/11/2022
Certification Date: 02/11/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 DOUGLAS BLVD STE 230
ROSEVILLE CA
95661-3809
US

IV. Provider business mailing address

3001 DOUGLAS BLVD STE 230
ROSEVILLE CA
95661-3809
US

V. Phone/Fax

Practice location:
  • Phone: 855-337-5500
  • Fax:
Mailing address:
  • Phone: 855-337-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. INGRID ELIZABETH HODEN
Title or Position: OWNER
Credential: DO, MPH
Phone: 855-337-5500