Provider Demographics
NPI:1215164934
Name:LINEMED HEALTH SERVICES INC
Entity type:Organization
Organization Name:LINEMED HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAMIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:NAEINI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-747-2718
Mailing Address - Street 1:219 S RIVERSIDE AVE
Mailing Address - Street 2:SUITE 231
Mailing Address - City:RIALTO
Mailing Address - State:CA
Mailing Address - Zip Code:92376-6455
Mailing Address - Country:US
Mailing Address - Phone:909-747-2718
Mailing Address - Fax:909-363-7396
Practice Address - Street 1:2016 N RIVERSIDE AVE
Practice Address - Street 2:SUITE D
Practice Address - City:RIALTO
Practice Address - State:CA
Practice Address - Zip Code:92377-4655
Practice Address - Country:US
Practice Address - Phone:909-747-2718
Practice Address - Fax:909-363-7396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-20
Last Update Date:2009-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1049552085D0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic NeuroimagingGroup - Single Specialty