Provider Demographics
NPI:1760584858
Name:LINSTONE, FRED (MD)
Entity Type:Individual
Prefix:DR
First Name:FRED
Middle Name:
Last Name:LINSTONE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4607 LAKEVIEW CANYON RD
Mailing Address - Street 2:597
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91361-4028
Mailing Address - Country:US
Mailing Address - Phone:818-991-0595
Mailing Address - Fax:818-991-1507
Practice Address - Street 1:4607 LAKEVIEW CANYON RD
Practice Address - Street 2:597
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-4028
Practice Address - Country:US
Practice Address - Phone:818-991-0595
Practice Address - Fax:818-991-1507
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2012-12-14
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Provider Licenses
StateLicense IDTaxonomies
CAG48151207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
A50952Medicare UPIN
WG48151BMedicare PIN