Provider Demographics
NPI:1770006009
Name:FLORIAN, LINETH FIORELLA (MD)
Entity Type:Individual
Prefix:DR
First Name:LINETH
Middle Name:FIORELLA
Last Name:FLORIAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2333 FOOTHILL BLVD
Mailing Address - Street 2:
Mailing Address - City:LA VERNE
Mailing Address - State:CA
Mailing Address - Zip Code:91750-3027
Mailing Address - Country:US
Mailing Address - Phone:909-392-6501
Mailing Address - Fax:909-392-6501
Practice Address - Street 1:2333 FOOTHILL BLVD
Practice Address - Street 2:
Practice Address - City:LA VERNE
Practice Address - State:CA
Practice Address - Zip Code:91750
Practice Address - Country:US
Practice Address - Phone:909-392-6501
Practice Address - Fax:909-392-6501
Is Sole Proprietor?:No
Enumeration Date:2017-07-18
Last Update Date:2018-08-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH131375207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine