Provider Demographics
NPI:1538267752
Name:FLOOD, GEORGE KEVIN (MD)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:KEVIN
Last Name:FLOOD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:760 E SOLANA CIR
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-2356
Mailing Address - Country:US
Mailing Address - Phone:858-642-3844
Mailing Address - Fax:858-552-4336
Practice Address - Street 1:3350 LA JOLLA VILLAGE DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92161-0002
Practice Address - Country:US
Practice Address - Phone:858-642-3833
Practice Address - Fax:858-552-4336
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA0404072084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry