Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | G68423 | CA |
NPI | 1184694598 |
---|---|
Provider Name | Dr. Scott D Flinn |
First Address | Ramona, CA 92065-4820 |
Second Address | Poway, CA 92064-2437 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 14/09/2015 |