MEDICARE: LINDA SITTLER PMHNP BC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	95036765	CA

General Provider Information

NPI Number	:	1467979500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA SITTLER PMHNP BC

Provider Business Mailing Address
First Line	:	11600 WASHINGTON PL STE 203
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5068
Country	:	US
Telephone Number	:	213-414-9304
Fax Number	:	213-600-7782

Provider Business Practice Location Address
First Line	:	11600 WASHINGTON PL STE 203
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-5068
Country	:	US
Telephone Number	:	213-414-9304
Fax Number	:	213-600-7782

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

Provider Enumeration Date	:	08/29/2017
Last Update Date	:	06/10/2026

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