MEDICARE: DR. CAROL ANNE LINDBERG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	G21592	CA

General Provider Information

NPI Number	:	1275533473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CAROL ANNE LINDBERG MD

Provider Business Mailing Address
First Line	:	344 TEJON PL
Second Line	:
City	:	PALOS VERDES ESTATES
State	:	CA
Zip	:	90274-1204
Country	:	US
Telephone Number	:	310-378-0565
Fax Number	:	310-378-0675

Provider Business Practice Location Address
First Line	:	344 TEJON PL
Second Line	:
City	:	PALOS VERDES ESTATES
State	:	CA
Zip	:	90274-1204
Country	:	US
Telephone Number	:	310-378-0565
Fax Number	:	310-378-0675

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	11/22/2021

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