Healthcare Provider Details

I. General information

NPI: 1609536812
Provider Name (Legal Business Name): LINN S MCDONALD DC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/29/2021
Last Update Date: 12/29/2021
Certification Date: 12/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 S LEMON AVE
WALNUT CA
91789-2703
US

IV. Provider business mailing address

302 S LEMON AVE
WALNUT CA
91789-2703
US

V. Phone/Fax

Practice location:
  • Phone: 909-594-5243
  • Fax: 909-594-5374
Mailing address:
  • Phone: 909-594-5243
  • Fax: 909-594-5374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: LINN SCOTT MCDONALD
Title or Position: OWNER/ DOCTOR
Credential: DC
Phone: 909-594-5243