Provider Demographics
NPI:1215344387
Name:LINA EA, D.O., INC
Entity type:Organization
Organization Name:LINA EA, D.O., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINA
Authorized Official - Middle Name:
Authorized Official - Last Name:EA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-208-3988
Mailing Address - Street 1:600 N GARFIELD AVE STE 307
Mailing Address - Street 2:
Mailing Address - City:MONTEREY PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91754-1172
Mailing Address - Country:US
Mailing Address - Phone:626-208-3988
Mailing Address - Fax:626-208-3968
Practice Address - Street 1:600 N GARFIELD AVE STE 307
Practice Address - Street 2:
Practice Address - City:MONTEREY PARK
Practice Address - State:CA
Practice Address - Zip Code:91754-1172
Practice Address - Country:US
Practice Address - Phone:626-208-3988
Practice Address - Fax:626-208-3968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A12219207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty