Provider Demographics
NPI:1346015005
Name:LINARES, PAULINE XAMILET (HIS)
Entity Type:Individual
Prefix:
First Name:PAULINE
Middle Name:XAMILET
Last Name:LINARES
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 W 17TH ST.
Mailing Address - Street 2:SUITE E2
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-3340
Mailing Address - Country:US
Mailing Address - Phone:657-900-4142
Mailing Address - Fax:
Practice Address - Street 1:1601 W 17TH ST.
Practice Address - Street 2:SUITE E2
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-3340
Practice Address - Country:US
Practice Address - Phone:657-900-4142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA8774237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist