Provider Demographics
NPI:1760184451
Name:LINARES, JAIME E
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:E
Last Name:LINARES
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1805 W AVENUE K STE 203E
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-5925
Mailing Address - Country:US
Mailing Address - Phone:661-571-4250
Mailing Address - Fax:
Practice Address - Street 1:1805 W AVENUE K STE 203E
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-5925
Practice Address - Country:US
Practice Address - Phone:661-571-4250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)