Provider Demographics
NPI:1891711065
Name:ALIMADADIAN, LINDA (DO)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:
Last Name:ALIMADADIAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11 TECHNOLOGY DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2302
Mailing Address - Country:US
Mailing Address - Phone:949-923-3488
Mailing Address - Fax:855-812-5865
Practice Address - Street 1:5581 ALTON PKWY
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-4056
Practice Address - Country:US
Practice Address - Phone:949-453-4308
Practice Address - Fax:949-453-4328
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7814207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA880443OtherCIGNA
CA36236OtherSCAN
CAPACIFICAREOther13782-124
CA141653OtherAETNA
CAOUW375OtherBLUE CROSS
CA091049OtherHEALTHNET
CA141653OtherAETNA
CA36236OtherSCAN