Doctor Name: | LINDA ANNE RANK |
NPI Number: | 1093024861 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | PA16152 |
Business Practice Address: | 777 Corporate Dr Ste 150 Ladera Ranch, CA - 926942136 |
Business Phone Number: | 9494818881 |
Business Fax Number: | 9494816666 |
Mailing Address: | 777 Corporate Dr, Ste 150 LADERA RANCH |
State: | CA |
Postal Code: | 926942136 |
Phone Number: | 9494818881 |
Fax Number: | 9494816666 |
NPI Enumeration Date: | 09/28/2010 |
NPI Last Update Date: | 03/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | PA16152 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |