Organization Active NPI

1St Choice Medical Clinic, PLLC

  • Clinic/Center
  • Richfield, MN
National Provider Identifier
1942685672
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
42329 Issued in MN
Legal business name
1ST CHOICE MEDICAL CLINIC, PLLC
Practice address
6410 Nicollet Ave
Richfield, MN 55423-1613
Phone
(612) 886-2293
NPI assigned
Jul 23, 2015
Last updated
Jul 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Dr. Foung Lo, M.D.
Title
Owner
Phone
(651) 340-3546

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 42329 MN Primary

Addresses

Primary practice location

6410 Nicollet Ave
Richfield, MN 55423-1613

Mailing address

6410 Nicollet Ave
Richfield, MN 55423-1613
Phone (612) 886-2293

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1437609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1942685672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6410 NICOLLET AVE",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231613",
            "telephone_number": "612-886-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6410 NICOLLET AVE",
            "city": "RICHFIELD",
            "state": "MN",
            "postal_code": "554231613",
            "telephone_number": "612-886-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CHOICE MEDICAL CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-23",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "LO",
        "authorized_official_first_name": "FOUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "651-340-3546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MN",
            "license": "42329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richfield, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2015; 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.