| Doctor Name: | LINDA DIANA BOSSERMAN |
| NPI Number: | 1346289824 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D., F.A.C.P |
| License Number: | G49004 |
| Business Practice Address: | 8283 Grove Ave Suite 207 Rancho Cucamonga, CA - 917303137 |
| Business Phone Number: | 9099492242 |
| Business Fax Number: | 9099209863 |
| Mailing Address: | 1333 S Mayflower Ave 2nd Floor, MONROVIA |
| State: | CA |
| Postal Code: | 910164066 |
| Phone Number: | 6267753514 |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 07/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | G49004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |