Organization
LIN MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRASOL PINEDA (BILLING MANAGER)
(818) 906-6900
Entity
Organization
Contact information
Practice address
15477 VENTURA BLVD, SUITE 100, SHERMAN OAKS, CA 91403-3046
(818) 906-6900
(818) 906-6903
Mailing address
28049 SMYTH DR, VALENCIA, CA 91355-4023
(818) 906-6900
(818) 906-6903
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/04/2009
Last updated
09/18/2015
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