Provider Demographics
NPI:1033320148
Name:VANLINT, LINDA JOY (PA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:JOY
Last Name:VANLINT
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1818 VERDUGO BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-1403
Mailing Address - Country:US
Mailing Address - Phone:818-790-1088
Mailing Address - Fax:818-790-1778
Practice Address - Street 1:1125 E BROADWAY
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91205-1315
Practice Address - Country:US
Practice Address - Phone:818-790-1088
Practice Address - Fax:818-790-1778
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA12561363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant