Individual
DR. LINDA B. ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2101 N WATERMAN AVE, SAN BERNARDINO, CA 92404-4836
(909) 881-4522
(909) 475-5082
Mailing address
5856 CORPORATE AVE, SUITE 200, CYPRESS, CA 90630-4754
(909) 881-4522
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A29487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A294870
—
CA
Enumeration date
11/07/2006
Last updated
10/10/2007
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