# LINDEN PHYSICIANS GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740698521
- **Authorized official:** MR. CORRIE GREATHOUSE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (310) 288-1718

## Contact information

- **Practice address:** 9730 WILSHIRE BLVD, SUITE 109, BEVERLY HILLS, CA 90212-2022
- **Practice address phone:** (310) 288-1718
- **Practice address fax:** (424) 201-5696
- **Mailing address:** 9663 SANTA MONICA BLVD, \#1203, BEVERLY HILLS, CA 90210-4303
- **Mailing address phone:** (310) 288-1718
- **Mailing address fax:** (424) 201-5696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | 32070 | CA | Yes |
| 2084P0802X | Addiction Psychiatry Physician | 32070 | CA | — |

## Other

- **Enumeration date:** 07/24/2014
- **Last updated:** 07/24/2014
