Individual
MR. ERIC L FLATEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(760) 446-3551
(760) 499-3014
Mailing address
1081 N CHINA LAKE BLVD, RIDGECREST, CA 93555-3130
(760) 446-3551
(760) 499-3014
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA2646
CA
367500000X
Certified Registered Nurse Anesthetist
RN568591
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430060085
RAILROAD MEDICARE
CA
01
—
NA2646
BS OF CA
CA
05
—
RN5685910
—
CA
Enumeration date
03/14/2006
Last updated
01/17/2013
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