MEDICARE: DANIEL JOSEPH LINARES M.D.

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	207Q00000X	Family Medicine Physician	A94119	CA

General Provider Information

NPI Number	:	1316956360
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL JOSEPH LINARES M.D.

Provider Business Mailing Address
First Line	:	1234 N VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029
Country	:	US
Telephone Number	:	310-496-9015
Fax Number	:	323-389-9128

Provider Business Practice Location Address
First Line	:	1234 N VERMONT AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90029-1704
Country	:	US
Telephone Number	:	323-660-0831
Fax Number	:	323-389-9128

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

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	06/04/2014

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