Four Season Clinic

Primary specialty

Ph.D. Medical GeneticsTaxonomy code 170100000X

License

A36991 Issued in CA

Legal business name

FOUR SEASON CLINIC

Practice address

5900 Pacific Blvd
Suite 202a
Huntington Park, CA 90255-2914

Phone

(323) 842-0626

Fax

(323) 588-9994

NPI assigned

Jul 13, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Karen Manasyan

Title

Owner

Phone

(323) 842-0626

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023033818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5046",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902559046",
            "telephone_number": "323-842-0626",
            "fax_number": "323-588-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 PACIFIC BLVD",
            "address_2": "SUITE 202A",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902552914",
            "telephone_number": "323-842-0626",
            "fax_number": "323-588-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR SEASON CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANASYAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-842-0626"
    },
    "taxonomies": [
        {
            "code": "170100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Ph.D. Medical Genetics",
            "state": "CA",
            "license": "A36991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leticia Bernal Flores
• Misty Flores
• Sandy Flores
• Sidney Flores
• Khameryn G Forte
• Scarlette Fox-Halperin
• Leslie Jannet Fragoso
• Marisol Francisco
• Adel M Fransis, DDS
• Christian Carlos Frausto

• Ph.D. Medical Genetics in Huntington Park, CA
• Providers in Huntington Park, CA by specialty
• Ph.D. Medical Genetics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.