Medeiros, Lina Pereira

Medeiros, Lina Pereira is an sole proprietor health care provider with primary practice located at 29316 Lake Mist Dr , Lake Elsinore CA 92530-7274. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Medeiros, Lina Pereira can be contacted via phone (951) 348-0060.

Contact Information

Primary practice address
29316 Lake Mist Dr Lake Elsinore CA 92530-7274
Phone: (951) 348-0060
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 200032726 California

Profile Details

NPI number 1912405192
LBN Legal business name Medeiros, Lina Pereira
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2018
Last updated Jan 28th, 2021 - about 4 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 1912405192 NPPES
California Other 1912405192 NPI

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