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Organization
FLAIR PARK MEDICAL CLINIC
Active
Organization
FLAIR PARK MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANCISCO RUN M.D. (DIRECTOR)
(626) 573-1252
Entity
Organization
Contact information
Practice address
1730 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-3928
(626) 573-1252
Mailing address
1730 S SAN GABRIEL BLVD, SAN GABRIEL, CA 91776-3928
(626) 573-1252
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A37561
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DB8382
RAILROAD MEDICARE
GA
05
—
GR0005030
—
CA
Enumeration date
10/09/2007
Last updated
08/24/2010
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