Individual
JACQUELINE LINNERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2221 LINCOLN BLVD STE 100, SANTA MONICA, CA 90405-1320
(310) 392-1111
Mailing address
2221 LINCOLN BLVD STE 100, SANTA MONICA, CA 90405-1320
(310) 392-1111
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/30/2019
Last updated
10/20/2025
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