Provider Demographics
NPI:1033140058
Name:PERL ADATTO, LINDA LEA (MD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:LEA
Last Name:PERL ADATTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:LEA
Other - Last Name:ADATTO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:18370 BURBANK BLVD
Mailing Address - Street 2:SUITE 307
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-2804
Mailing Address - Country:US
Mailing Address - Phone:818-996-6000
Mailing Address - Fax:818-996-4712
Practice Address - Street 1:18370 BURBANK BLVD
Practice Address - Street 2:SUITE 307
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356
Practice Address - Country:US
Practice Address - Phone:818-996-6000
Practice Address - Fax:818-996-4712
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60159208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics