Provider Demographics
NPI:1720750334
Name:LINK 2 MEDICAL GROUP PC
Entity Type:Organization
Organization Name:LINK 2 MEDICAL GROUP PC
Other - Org Name:LINK 2
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HODEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO, MPH
Authorized Official - Phone:855-337-5500
Mailing Address - Street 1:3001 DOUGLAS BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3809
Mailing Address - Country:US
Mailing Address - Phone:855-337-5500
Mailing Address - Fax:
Practice Address - Street 1:3001 DOUGLAS BLVD STE 230
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3809
Practice Address - Country:US
Practice Address - Phone:855-337-5500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty