Organization
LINDA MAK, MD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MAK M.D. (PRESIDENT, CEO)
(760) 333-1418
Entity
Organization
Contact information
Practice address
74-900 HWY 111, STE 212, INDIAN WELLS, CA 92210
(760) 568-0209
(760) 568-0184
Mailing address
PO BOX 5819, LA QUINTA, CA 92248-5819
(760) 568-0209
(760) 568-0184
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
A51014
CA
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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