Provider Demographics
NPI:1871655548
Name:LINEHAN, JAMES W SR (MD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:W
Last Name:LINEHAN
Suffix:SR
Gender:M
Credentials:MD
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Mailing Address - Street 1:393 BLOSSOM HILL RD
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-1652
Mailing Address - Country:US
Mailing Address - Phone:408-227-6300
Mailing Address - Fax:408-227-6314
Practice Address - Street 1:393 BLOSSOM HILL RD
Practice Address - Street 2:SUITE 210
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95123-1652
Practice Address - Country:US
Practice Address - Phone:408-227-6300
Practice Address - Fax:408-227-6314
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAC26389207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C263891Medicare ID - Type Unspecified
CAA33114Medicare UPIN