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Individual

DR. JOHN LINDBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1115 S SUNSET AVE, WEST COVINA, CA 91790-3940
(626) 472-9019
Mailing address
16432 LADONA CIR, HUNTINGTON BEACH, CA 92649-2133
(714) 840-4942

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
GO69560
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00G69560
BLUESHIELD
CA
05
00G69561
CA
Enumeration date
12/04/2006
Last updated
03/23/2011
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