Lydon, Malinda J

Lydon, Malinda J is an individual health care provider with primary practice located at 3941 J St Suite 270, Sacramento CA 95819-3628. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Lydon, Malinda J can be contacted via phone (916) 733-6850.

Contact Information

Primary practice address
3941 J St Suite 270 Sacramento CA 95819-3628
Phone: (916) 733-6850
Fax: (916) 733-6824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA15482 California

Profile Details

NPI number 1619928975
LBN Legal business name Lydon, Malinda J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Jun 14th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619928975 NPPES
California MEDICAID PA15482

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