Provider Demographics
NPI:1851328587
Name:HA, LINDA MAIPHUONGLIEN (MD)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:MAIPHUONGLIEN
Last Name:HA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1569 LEXANN AVE
Mailing Address - Street 2:SUITE 232
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95121-1794
Mailing Address - Country:US
Mailing Address - Phone:408-270-3374
Mailing Address - Fax:408-270-3384
Practice Address - Street 1:1569 LEXANN AVE
Practice Address - Street 2:SUITE 232
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95121-1794
Practice Address - Country:US
Practice Address - Phone:408-270-3374
Practice Address - Fax:408-270-3384
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2010-07-15
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Provider Licenses
StateLicense IDTaxonomies
CAA060284208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG49877Medicare UPIN