Basic Information
Provider Information
NPI: 1063673218
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SZEMA
FirstName: LINDA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 75 NIELSON ST
Address2:  
City: WATSONVILLE
State: CA
PostalCode: 950762468
CountryCode: US
TelephoneNumber: 8317615613
FaxNumber:  
Practice Location
Address1: 75 NIELSON ST
Address2:  
City: WATSONVILLE
State: CA
PostalCode: 950762468
CountryCode: US
TelephoneNumber: 8317615613
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/20/2008
LastUpdateDate: 11/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XA120442CAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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