Provider Demographics
NPI:1417971284
Name:FLAUM, EUGENE G (MD)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:G
Last Name:FLAUM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8670 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-2924
Mailing Address - Country:US
Mailing Address - Phone:310-657-6420
Mailing Address - Fax:310-659-7681
Practice Address - Street 1:8670 WILSHIRE BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-2924
Practice Address - Country:US
Practice Address - Phone:310-657-6420
Practice Address - Fax:310-659-7681
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA21554207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A215540Medicaid
CAWA21554AMedicare PIN
CAA22653Medicare UPIN