Phelan, Geoffrey Louis

Phelan, Geoffrey Louis is an sole proprietor health care provider with primary practice located at 1220 E Avenue S Suite F, Palmdale CA 93550-6196. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Phelan, Geoffrey Louis can be contacted via phone (661) 273-1445.

Contact Information

Primary practice address
1220 E Avenue S Suite F Palmdale CA 93550-6196
Phone: (661) 273-1445
Fax: (661) 273-4943
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C36207 California

Profile Details

NPI number 1053421016
LBN Legal business name Phelan, Geoffrey Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 19 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053421016 NPPES
California MEDICAID 00C36207

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