Individual
LINDA PON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1411 E 31ST ST, DEPARTMENT OF ANESTHESIA, OAKLAND, CA 94602-1018
(510) 437-4366
Mailing address
1411 E 31ST ST, DEPARTMENT OF ANESTHESIA, OAKLAND, CA 94602-1018
(510) 437-4366
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
2312
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN4047730
MEDI-CAL PROVIDER RENDERI
CA
Enumeration date
07/26/2007
Last updated
04/27/2011
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