La Habra Family Medical Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A40305 Issued in CA

Legal business name

LA HABRA FAMILY MEDICAL CLINIC

Practice address

308 N Harbor Blvd
La Habra, CA 90631-4847

Phone

(562) 691-7403

NPI assigned

Apr 28, 2017

Organization subpart

No

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

Authorized official

Name

Francisco Jimenez, M.D.

Title

Medical Director

Phone

(562) 691-7403

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1336674191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N HARBOR BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906314847",
            "telephone_number": "562-691-7403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N HARBOR BLVD",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906314847",
            "telephone_number": "562-691-7403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA HABRA FAMILY MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "562-691-7403",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A40305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Kwok, RPH
• In Ho Kwon, D.D.S
• Kyung Sook Yu, DDS. Inc
• La Habra City SD
• La Habra Dental Office of Alborz Mehdizadeh Inc
• La Habra Hills Optometry, Inc.
• La Habra Post Acute LLC
• La Habra Villa, LLC
• Justin La
• Lakeside Hospice Care, Inc.

• Family Medicine Physician in La Habra, CA
• Providers in La Habra, 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 Apr 28, 2017; 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.