Basic Information
Provider Information
NPI: 1649366691
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CALVO
FirstName: LINETTE
MiddleName: CRISTINE
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2450 SISTER MARY COLUMBA DR
Address2:  
City: RED BLUFF
State: CA
PostalCode: 960804356
CountryCode: US
TelephoneNumber: 5305270414
FaxNumber: 5305284423
Practice Location
Address1: 20833 LONG BRANCH DR
Address2:  
City: COTTONWOOD
State: CA
PostalCode: 960228701
CountryCode: US
TelephoneNumber: 5305270414
FaxNumber: 5305284423
Other Information
ProviderEnumerationDate: 10/05/2006
LastUpdateDate: 01/09/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000XG74253CAY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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