Frank B Flint MD Medical Corp

Organization Active NPI Surgery Physician · Lakeside, CA

NPI 1619254562 · NPPES record last updated Feb 22, 2012

Key facts

NPI
1619254562
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
License
C25362 (CA)
Legal business name
FRANK B FLINT MD MEDICAL CORP
Practice address
11822 Northill Ter
Lakeside, CA 92040-3723
Phone
(619) 440-2427
Fax
(619) 447-7310
NPI assigned
Nov 7, 2011
Organization subpart
No

Authorized official

Name
Frank Bryce Flint, MD.
Title
President
Phone
(619) 440-2427

National Provider Directory

Locations

860 Jamacha Rd
Ste 205
El Cajon, CA 92019
Phone (619) 440-2427

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208600000X C25362 CA Yes

Addresses

Primary practice location

11822 Northill Ter
Lakeside, CA 92040-3723

Mailing address

PO Box 12557
El Cajon, CA 92022-2557
Phone (619) 440-2427

Other identifiers

IdentifierTypeStateIssuer
00C253620MedicaidCA

Other providers in Lakeside, CA

All providers in Lakeside, CA · Surgery Physician in California

Sources for this page

Verify at the official NPI Registry.