Flair Park Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A37561 Issued in CA

Legal business name

FLAIR PARK MEDICAL CLINIC

Practice address

1730 S San Gabriel Blvd
San Gabriel, CA 91776-3928

Phone

(626) 573-1252

NPI assigned

Oct 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Francisco Run, M.D.

Title

Director

Phone

(626) 573-1252

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1275721896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763928",
            "telephone_number": "626-573-1252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S SAN GABRIEL BLVD",
            "city": "SAN GABRIEL",
            "state": "CA",
            "postal_code": "917763928",
            "telephone_number": "626-573-1252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLAIR PARK MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "RUN",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "626-573-1252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A37561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0005030",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB8382",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zhisong Feng
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• Kerry Ann Fleming, PT LAC
• Alba Flores, MSN, FNP
• Janelle Marie Floreza, M.S. BCBA
• Vanessa Folkes, RN
• Howard Fong, RPH, MBA

• Family Medicine Physician in San Gabriel, CA
• Providers in San Gabriel, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.