Individual
ELIZABETH L. GARCIA-FLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
660 E REGENT ST, INGLEWOOD, CA 90301-1415
(310) 674-9179
(310) 674-0120
Mailing address
660 E REGENT ST, INGLEWOOD, CA 90301-1415
(310) 674-9179
(310) 674-0120
Taxonomy
Speciality
Code
Description
License number
State
224900000X
Mastectomy Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900676339
IRS
CA
Enumeration date
11/15/2018
Last updated
11/15/2018
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