Basic Information
| Provider Information | |||||||||
| NPI: | 1700859246 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MORROW | ||||||||
| FirstName: | LINDA | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1010 HURLEY WAY | ||||||||
| Address2: | 475 | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958253215 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9165616818 | ||||||||
| FaxNumber: | 9165614263 | ||||||||
| Practice Location | |||||||||
| Address1: | 5301 F ST | ||||||||
| Address2: | 117 | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958193226 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9167331788 | ||||||||
| FaxNumber: | 9167331787 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/07/2006 | ||||||||
| LastUpdateDate: | 07/12/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RG0300X | G79092 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Geriatric Medicine |
ID Information
| ID | Type | State | Issuer | Description | 00G790920 | 05 | CA | MEDICAID |