Organization
VANOWEN MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE D FLANIGAN III MD (OWNER/DIRECTOR)
(818) 483-4717
Entity
Organization
Contact information
Practice address
16927 VANOWEN ST STE 4, LAKE BALBOA, CA 91406-4582
(818) 483-4717
(818) 483-4718
Mailing address
16927 VANOWEN ST STE 4, LAKE BALBOA, CA 91406-4582
(818) 483-4717
(818) 483-4718
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A47749
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A47749
MEDICAL BOARD OF CALIFORNIA
CA
Enumeration date
12/06/2017
Last updated
12/27/2017
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