Doctor Name: | BONNIE DELL FLANNIGAN |
NPI Number: | 1700834496 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | A34520 |
Business Practice Address: | 16130 Ventura Blvd Ste 100 Encino, CA - 914360000 |
Business Phone Number: | 8189332020 |
Business Fax Number: | 8189332021 |
Mailing Address: | 1516 Cotner Avenue, LOS ANGELES |
State: | CA |
Postal Code: | 900253303 |
Phone Number: | 3104452951 |
Fax Number: | 3104791459 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 02/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085B0100X |
License Number: | A34520 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Body Imaging |
Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Body Imaging. |