MEDICARE: YASAMIN LINNEY 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
1	363LG0600X	Gerontology Nurse Practitioner	95012343	CA
2	363L00000X	Nurse Practitioner	95012343	CA

General Provider Information

NPI Number	:	1558916106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YASAMIN LINNEY NP

Provider Business Mailing Address
First Line	:	12140 MOORPARK ST APT 205
Second Line	:
City	:	STUDIO CITY
State	:	CA
Zip	:	91604-5216
Country	:	US
Telephone Number	:	310-423-9520
Fax Number	:

Provider Business Practice Location Address
First Line	:	8700 BEVERLY BLVD # 220
Second Line	:
City	:	WEST HOLLYWOOD
State	:	CA
Zip	:	90048-1804
Country	:	US
Telephone Number	:	310-423-9520
Fax Number	:

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

Provider Enumeration Date	:	08/09/2019
Last Update Date	:	05/18/2026

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Directions to “ YASAMIN LINNEY NP” Practice Location

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