Provider Demographics
NPI:1679890768
Name:DALE LINTON MD INC
Entity Type:Organization
Organization Name:DALE LINTON MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:LINTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-428-4613
Mailing Address - Street 1:925 E SAN ANTONIO DR STE 11
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90807-2210
Mailing Address - Country:US
Mailing Address - Phone:562-428-4613
Mailing Address - Fax:562-428-1144
Practice Address - Street 1:925 E SAN ANTONIO DR STE 11
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90807-2210
Practice Address - Country:US
Practice Address - Phone:562-428-4613
Practice Address - Fax:562-428-1144
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-28
Last Update Date:2010-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG32442174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA91444Medicare UPIN