Provider Demographics
NPI:1679932990
Name:LINDENBERG, CARLAJEAN (NP)
Entity type:Individual
Prefix:MRS
First Name:CARLAJEAN
Middle Name:
Last Name:LINDENBERG
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:CJ
Other - Middle Name:
Other - Last Name:LIDENBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2801 ATLANTIC AVENUE
Mailing Address - Street 2:3RD FLOOR MHVI
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90806
Mailing Address - Country:US
Mailing Address - Phone:562-933-3381
Mailing Address - Fax:562-933-3372
Practice Address - Street 1:2801 ATLANTIC AVENUE
Practice Address - Street 2:3RD FLOOR MHVI
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806
Practice Address - Country:US
Practice Address - Phone:562-933-3381
Practice Address - Fax:562-933-3372
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23613363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner