Individual
MS. GWENERVERE LOUISE FLAGG
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
231 W VERNON AVE, SUITE 204, LOS ANGELES, CA 90037-2700
(323) 234-9595
(323) 234-9588
Mailing address
PO BOX 91177, LOS ANGELES, CA 90009-1177
(323) 234-9595
(323) 234-9588
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
G42472
CA
208600000X
Surgery Physician
G42472
CA
208D00000X
General Practice Physician
Primary
G42472
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G424720
—
CA
Enumeration date
05/26/2006
Last updated
09/11/2025
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