Provider Demographics
NPI:1114105897
Name:VEGA, LINESSE MARIA (MD)
Entity type:Individual
Prefix:DR
First Name:LINESSE
Middle Name:MARIA
Last Name:VEGA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6255 W SUNSET BLVD FL 21
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90028-7422
Mailing Address - Country:US
Mailing Address - Phone:323-860-5200
Mailing Address - Fax:323-467-7119
Practice Address - Street 1:1200 BINZ ST STE 1040
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77004-6926
Practice Address - Country:US
Practice Address - Phone:713-524-8700
Practice Address - Fax:713-524-2910
Is Sole Proprietor?:No
Enumeration Date:2008-02-05
Last Update Date:2024-12-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXP25562084P0800X
NJ25MA113813002084P0800X
CAC1809842084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry