Basic Information
Provider Information
NPI: 1588041669
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FLINN
FirstName: DANIEL
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 40949 WINCHESTER RD
Address2:  
City: TEMECULA
State: CA
PostalCode: 925916031
CountryCode: US
TelephoneNumber: 9512966676
FaxNumber:  
Practice Location
Address1: 40949 WINCHESTER RD
Address2:  
City: TEMECULA
State: CA
PostalCode: 925916031
CountryCode: US
TelephoneNumber: 9512966676
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/28/2015
LastUpdateDate: 08/19/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/19/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207X00000X5101021550MIN Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 
207XX0801XDO2665NVN Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
207XX0801X20A18879CAY Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma

No ID Information.


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