MEDICARE: DR. ROBERT ALAN LINDEMANN D.D.S.

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	1223G0001X	General Practice Dentistry	24038	CA

General Provider Information

NPI Number	:	1316169667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ALAN LINDEMANN D.D.S.

Provider Business Mailing Address
First Line	:	4010 MANDEVILLE CANYON RD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90049-1041
Country	:	US
Telephone Number	:	310-825-1425
Fax Number	:	310-794-7734

Provider Business Practice Location Address
First Line	:	UCLA 100 MEDICAL PLZ
Second Line	:	SUITE 350
City	:	LOS ANGELES
State	:	CA
Zip	:	90095-6999
Country	:	US
Telephone Number	:	310-794-5750
Fax Number	:	310-208-0786

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

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	07/08/2007

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