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NPI Code Detail

MEDICARE: LINDA VI NP

MEDICARE: LINDA VI NP
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
1363LF0000XFamily Nurse Practitioner20018CA

General Provider Information

NPI Number : 1316251382
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA VI NP
Provider Business Mailing Address
First Line : 10690 SAN PABLO AVE
Second Line :
City : EL CERRITO
State : CA
Zip : 94530-2620
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10690 SAN PABLO AVE
Second Line :
City : EL CERRITO
State : CA
Zip : 94530-2620
Country : US
Telephone Number : 310-365-5261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2010
Last Update Date : 04/19/2023

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Directions to “ LINDA VI NP” Practice Location

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