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LINDA MAK MD INC. NPI 1326236381


NPI Information

NPI: 1326236381
Provider Name: LINDA MAK MD INC.
Classification: Dermatology - 207ND0101X
Entity Type: Organization

Specialization: MOHS-Micrographic Surgery

CLIA Number: 05D1001248

Address:
1381 E HERNDON AVE STE 109
FRESNO, CA
ZIP 93720
Phone: (558) 448-8412
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LINDA MAK MD INC. is a mohs-micrographic surgery dermatology in Fresno, CA. The provider is the highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. LINDA MAK MD INC. NPI is 1326236381. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1381 E HERNDON AVE STE 109
FRESNO, CA
ZIP 93720-307
Phone: (558) 448-8412
Fax: (559) 448-8415

The provider's authorized official is Linda Mak .
The authorized official title is President, Ceo and has the following contact phone number (760) 333-1418.

The CLIA number assigned to this NPI record is 05D1001248 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/4/2007 and was last updated on 10/12/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0101XDermatologyMOHS-Micrographic SurgeryA51014CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ23331ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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