Provider Demographics
NPI:1417080060
Name:READ SHELBY, LINDA (LAC)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:READ SHELBY
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5353 TOPANGA CANYON BLVD
Mailing Address - Street 2:209
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364-1737
Mailing Address - Country:US
Mailing Address - Phone:818-888-8115
Mailing Address - Fax:
Practice Address - Street 1:5353 TOPANGA CANYON BLVD
Practice Address - Street 2:209
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364-1737
Practice Address - Country:US
Practice Address - Phone:818-888-8115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC9004171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist