Flair Park Medical Clinic

LBN: Flair Park Medical Clinic
Flair Park Medical Clinic is an health care organization with primary practice located at 1730 S San Gabriel Blvd , San Gabriel CA 91776-3928. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Flair Park Medical Clinic can be contacted via phone (626) 573-1252, or through Run, Francisco via phone (626) 573-1252.

Contact Information

Primary practice address
1730 S San Gabriel Blvd San Gabriel CA 91776-3928
Phone: (626) 573-1252
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Run, Francisco Doctor of Medicine (MD)
Phone: (626) 573-1252

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A37561 California

Profile Details

NPI number 1275721896
LBN Legal business name Flair Park Medical Clinic
DBA Doing business as
Authorized official Run, Francisco Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2007
Last updated Aug 24th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275721896 NPPES
California MEDICAID GR0005030
California Other DB8382

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