Organization
MARK S LINAM DPM A PROFESSIONAL CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK SCOTT LINAM DPM (PODIATRISTSURGEON)
(562) 868-0787
Entity
Organization
Contact information
Practice address
12820 STUDEBAKER RD STE 200, NORWALK, CA 90650-2583
(562) 868-0787
(562) 375-6188
Mailing address
PO BOX 1204, NORWALK, CA 90651-1204
(562) 868-0787
(562) 375-6188
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E3500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000E35000
—
CA
Enumeration date
01/16/2007
Last updated
09/06/2011
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