Organization
EVELYN AND FLICKINGER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY DEAN FLICKINGER M.D. (PRESIDENT)
(858) 676-1926
Entity
Organization
Contact information
Practice address
4077 5TH AVE, SAN DIEGO, CA 92103-2105
(619) 260-7022
Mailing address
17136 PATINA ST, SAN DIEGO, CA 92127-5700
(858) 676-1926
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G478590
—
CA
Enumeration date
09/16/2006
Last updated
08/22/2020
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