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Organization

LINDA GERRITS M D INC A PROFESSIONAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LINDA M GERRITS M.D. (PHYSICIAN)
(805) 494-7710
Entity
Organization

Contact information

Practice address
1220 LA VENTA DR, SUITE 207, WESTLAKE VILLAGE, CA 91361-3703
(805) 494-7710
(805) 494-7793
Mailing address
1220 LA VENTA DR, SUITE 207, WESTLAKE VILLAGE, CA 91361-3703
(805) 494-7710
(805) 494-7793

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G55503
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G555030
CA
Enumeration date
10/09/2009
Last updated
03/10/2015
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