| Flair Park Medical Clinic | |
|
1730 S San Gabriel Blvd San Gabriel CA 91776-3928 | |
| (626) 573-1252 | |
| Not Available |
| Full Name | Flair Park Medical Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1730 S San Gabriel Blvd, San Gabriel, California |
| Authorized Official Name and Position | Francisco Run (DIRECTOR) |
| Authorized Official Contact | 6265731252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Flair Park Medical Clinic 1730 S San Gabriel Blvd San Gabriel CA 91776-3928 Ph: (626) 573-1252 | Flair Park Medical Clinic 1730 S San Gabriel Blvd San Gabriel CA 91776-3928 Ph: (626) 573-1252 |
| NPI Number | 1275721896 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 08/24/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275721896 | NPI | - | NPPES |
| GR0005030 | Medicaid | CA | |
| DB8382 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A37561 (California) | Primary |
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