Individual
COURTNEY LINDE DECAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1304 15TH ST STE 102, SANTA MONICA, CA 90404-1810
(310) 825-7921
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
(310) 301-8707
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A179118
CA
207RB0002X
Obesity Medicine (Internal Medicine) Physician
89997642
CA
2083P0901X
Public Health & General Preventive Medicine Physician
A179118
CA
Other
Enumeration date
03/20/2019
Last updated
04/14/2026
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