| Vanowen Medical Group, Inc | |
|
16927 Vanowen St Ste 4 Lake Balboa CA 91406-4582 | |
| (818) 483-4717 | |
| (818) 483-4718 |
| Full Name | Vanowen Medical Group, Inc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 16927 Vanowen St Ste 4, Lake Balboa, California |
| Authorized Official Name and Position | George D Flanigan (OWNER/DIRECTOR) |
| Authorized Official Contact | 8184834717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vanowen Medical Group, Inc 16927 Vanowen St Ste 4 Lake Balboa CA 91406-4582 Ph: (818) 483-4717 | Vanowen Medical Group, Inc 16927 Vanowen St Ste 4 Lake Balboa CA 91406-4582 Ph: (818) 483-4717 |
| NPI Number | 1144735747 |
|---|---|
| Provider Enumeration Date | 12/06/2017 |
| Last Update Date | 12/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144735747 | NPI | - | NPPES |
| A47749 | Other | CA | MEDICAL BOARD OF CALIFORNIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | A47749 (California) | Primary |
Eolb Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16927 Vanowen St Ste 4, Lake Balboa, CA 91406 Phone: 818-483-4717 |