Provider Demographics
NPI:1275723892
Name:WENDY FLAPAN D.O., INC.
Entity Type:Organization
Organization Name:WENDY FLAPAN D.O., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLAPAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-730-1833
Mailing Address - Street 1:333 OCONNOR DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1623
Mailing Address - Country:US
Mailing Address - Phone:408-297-3484
Mailing Address - Fax:
Practice Address - Street 1:333 OCONNOR DR
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1623
Practice Address - Country:US
Practice Address - Phone:408-297-3484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A80802081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports MedicineGroup - Single Specialty