Individual
BONNIE DELL FLANNIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2428 SANTA MONICA BLVD, SANTA MONICA, CA 90404-2045
(310) 315-1000
Mailing address
1516 COTNER AVENUE, LOS ANGELES, CA 90025-3303
(310) 445-2951
(310) 479-1459
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
A34520
CA
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
A34520
CA
2085N0700X
Neuroradiology Physician
A34520
CA
2085R0202X
Diagnostic Radiology Physician
A34520
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A345200
—
CA
01
—
A34520
MEDICAL LICENSE
CA
05
—
GR0106035
—
CA
Enumeration date
05/04/2006
Last updated
08/04/2022
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