Individual
JEFFREY ALAN LINDENBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 WEST HOSPITAL ROAD, FRENCH CAMP, CA 95213
(209) 468-6440
(209) 468-6962
Mailing address
1524 MCHENRY AVENUE, SUITE 150, MODESTO, CA 95350-4569
(209) 571-8330
(209) 491-7184
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
641668
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G416680
—
CA
05
—
GR0071220
—
CA
Enumeration date
06/06/2006
Last updated
07/08/2007
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