MEDICARE: DR. SCOTT D FLINN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207QS0010X	Sports Medicine (Family Medicine) Physician	G68423	CA

General Provider Information

NPI Number	:	1184694598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT D FLINN M.D.

Provider Business Mailing Address
First Line	:	15945 SHALOM RD
Second Line	:
City	:	RAMONA
State	:	CA
Zip	:	92065-4820
Country	:	US
Telephone Number	:	760-315-6817
Fax Number	:	858-613-2930

Provider Business Practice Location Address
First Line	:	15611 POMERADO RD
Second Line	:	SUITE 400
City	:	POWAY
State	:	CA
Zip	:	92064-2437
Country	:	US
Telephone Number	:	858-673-2574
Fax Number	:	858-613-2930

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2006
Last Update Date	:	09/14/2015

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