Flannigan, Bonnie Dell
Flannigan, Bonnie Dell is an individual health care provider with primary practice located at 2428 Santa Monica Blvd , Santa Monica CA 90404-2045. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging. Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging is her primary health care specialty. Flannigan, Bonnie Dell can be contacted via phone (310) 315-1000.Contact Information
Primary practice address
2428 Santa Monica Blvd
Santa Monica CA 90404-2045
Phone: (310) 315-1000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Body Imaging | 2085B0100X | A34520 | California |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | A34520 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | A34520 | California |
| Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging | 2085D0003X | A34520 | California |
Profile Details
| NPI number | 1700834496 |
|---|---|
| LBN Legal business name | Flannigan, Bonnie Dell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Aug 4th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700834496 | NPPES |
| California | Other | A34520 | MEDICAL LICENSE |
| California | MEDICAID | GR0106035 | MEDICAL LICENSE |
| California | MEDICAID | 00A345200 | MEDICAL LICENSE |
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