Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QG0300X | Family Doctor - Geriatric Medicine | A90251 | CA |
NPI | 1023100013 |
---|---|
Provider Name | Linda James |
First Address | Santa Clarita, CA 91350-1764 |
Second Address | Santa Clarita, CA 91350-1764 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2006 |
Last Update Date | 22/11/2021 |