MEDICARE: LINDA DO D.O.

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	2084P0800X	Psychiatry Physician	20A12084	CA
2	390200000X	Student in an Organized Health Care Education/Training Program
3	2084P0804X	Child & Adolescent Psychiatry Physician	20A12084	CA

General Provider Information

NPI Number	:	1689990434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDA DO D.O.

Provider Business Mailing Address
First Line	:	16787 BEACH BLVD STE 1022
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-4848
Country	:	US
Telephone Number	:	714-729-3730
Fax Number	:

Provider Business Practice Location Address
First Line	:	1400 QUAIL ST STE 275
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-2762
Country	:	US
Telephone Number	:	714-729-3730
Fax Number	:

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

Provider Enumeration Date	:	04/19/2010
Last Update Date	:	04/15/2025

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