| Floridalma Linares Dds, Inc | |
|
5465 Santa Monica Blvd Suite 102 Los Angeles CA 90029 | |
| (323) 467-8768 | |
| (323) 467-8758 |
| Full Name | Floridalma Linares Dds, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5465 Santa Monica Blvd, Los Angeles, California |
| Authorized Official Name and Position | Floridalma Linares (PRESIDENT) |
| Authorized Official Contact | 3234678768 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Floridalma Linares Dds, Inc 5465 Santa Monica Blvd Suite 102 Los Angeles CA 90029 Ph: (323) 467-8768 | Floridalma Linares Dds, Inc 5465 Santa Monica Blvd Suite 102 Los Angeles CA 90029 Ph: (323) 467-8768 |
| NPI Number | 1619029444 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 05/01/2017 |
| Medicare PECOS PAC ID | 3476821018 |
|---|---|
| Medicare Enrollment ID | O20170622001483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619029444 | NPI | - | NPPES |
| G-93612-01 | Other | CA | DENTICAL |
| 46872 | Other | CA | DELTA DENTAL OF CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Floridalma Linares |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1861531618 PECOS PAC ID: 4385912922 Enrollment ID: I20170711002534 |
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