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:
Health care specialties
| Specialty | Code | License # | 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 18 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 | 1053421016 | NPPES |
| California | MEDICAID | 00C36207 |
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