Physician Compare National (NPI:1811161771)

HEALTHCARE PROVIDER: MARK SCOTT LINAM DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1811161771
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4486706348
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20090723000566
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	LINAM
	Individual professional last name
Provider First Name	MARK
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	12820 STUDEBAKER RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	NORWALK
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	906502583
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	050717
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	050581
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	LAKEWOOD REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	050771
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	COAST PLAZA HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y