Provider Demographics
NPI:1467548149
Name:LINDBERG, JANE CHRISTINE (MD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:CHRISTINE
Last Name:LINDBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 SAINT CHARLES DR
Mailing Address - Street 2:#200
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-3951
Mailing Address - Country:US
Mailing Address - Phone:805-497-4545
Mailing Address - Fax:805-497-3838
Practice Address - Street 1:550 SAINT CHARLES DR
Practice Address - Street 2:#200
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-3951
Practice Address - Country:US
Practice Address - Phone:805-497-4545
Practice Address - Fax:805-497-3838
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG53056207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE60203Medicare UPIN