Healthcare Provider Details

I. General information

NPI: 1194010934
Provider Name (Legal Business Name): RICK LINTON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2011
Last Update Date: 06/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 W WEST COVINA PKWY # 170
WEST COVINA CA
91790-2810
US

IV. Provider business mailing address

1004 W WEST COVINA PKWY # 170
WEST COVINA CA
91790-2810
US

V. Phone/Fax

Practice location:
  • Phone: 213-400-8182
  • Fax:
Mailing address:
  • Phone: 213-400-8182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: