Provider Demographics
NPI:1700874161
Name:ESTRADA-LINDER, LILIAN (MD)
Entity Type:Individual
Prefix:
First Name:LILIAN
Middle Name:
Last Name:ESTRADA-LINDER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:441 N LAKEVIEW AVE
Mailing Address - Street 2:KAISER PERMANENTE , MEDICAL STAFF OFFICE 8TH FLOOR
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-3028
Mailing Address - Country:US
Mailing Address - Phone:714-279-4130
Mailing Address - Fax:714-279-4029
Practice Address - Street 1:441 N LAKEVIEW AVE
Practice Address - Street 2:KAISER PERMANENTE
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-3028
Practice Address - Country:US
Practice Address - Phone:714-279-5879
Practice Address - Fax:714-279-4029
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV9515208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAXPY193994Medicaid
NV002016891Medicaid
CC0460OtherBCBS
F70090Medicare UPIN
33655Medicare ID - Type Unspecified