Individual
DR. PAUL FLANAGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3090 BALI CIRCLE, COSTA MESA, CA 92626
(714) 957-0348
(714) 444-3182
Mailing address
3090 BALI CIRCLE, COSTA MESA, CA 92626
(714) 957-0348
(714) 444-3182
Taxonomy
Speciality
Code
Description
License number
State
207ZB0001X
Blood Banking & Transfusion Medicine Physician
C30639
CA
207ZC0006X
Clinical Pathology Physician
C30639
CA
207ZP0101X
Anatomic Pathology Physician
Primary
C30639
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ58835Z
—
CA
Enumeration date
09/15/2010
Last updated
09/15/2010
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