Linda Barkodar, M.D.
Individual provider Active NPI Internal Medicine Physician · South Gate, CA
NPI 1124288147 · NPPES record last updated Apr 24, 2014
Key facts
- NPI
- 1124288147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A107742 (CA)
- Practice address
- 2809 Tweedy Blvd
South Gate, CA 90280-5538 - Phone
- (323) 567-9909
- NPI assigned
- Jun 12, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101103000664 | CA | Practitioner - Internal Medicine | 6406040443 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A107742 | CA | MD | Internal Medicine Physician |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beverly Hills Concierge Doctor, Inc | Current |
Accepting new patients |
Locations
9400 Brighton Way
Ste 303
Beverly Hills, CA 90210
Phone (310) 499-8116
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A107742 | CA | Yes |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2809 Tweedy Blvd
South Gate, CA 90280-5538
Mailing address
465 N Kilkea Dr
Los Angeles, CA 90048-2228
Phone (310) 422-6100
Other providers in South Gate, CA
- Stephanie Galilea Banuelos Chavez
- Carlos Alberto Barajas Jr.
- Leslie Barboza Navarrete
- Ovidiu C Barbu
- Jasmine Barillas
- Erika Baron
- Marcia Barrera
- Nathan Joseph Bautista
- Marsella Becerra
- Behnoud Reyhani Dental Corp
All providers in South Gate, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.