Provider Demographics
NPI:1821174434
Name:LINHARDT, NAT S (MD)
Entity Type:Individual
Prefix:
First Name:NAT
Middle Name:S
Last Name:LINHARDT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5620 WILBUR AVE
Mailing Address - Street 2:SUITE 303
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356-1309
Mailing Address - Country:US
Mailing Address - Phone:818-609-9553
Mailing Address - Fax:818-609-9539
Practice Address - Street 1:5620 WILBUR AVE
Practice Address - Street 2:SUITE 303
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356-1309
Practice Address - Country:US
Practice Address - Phone:818-609-9553
Practice Address - Fax:818-609-9539
Is Sole Proprietor?:No
Enumeration Date:2006-10-27
Last Update Date:2010-09-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG69302207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWG69302Medicare PIN