Healthcare Provider Details

I. General information

NPI: 1720929599
Provider Name (Legal Business Name): NICOLAS FLINN GIRARD MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5200 GENESEE CV APT 207
SAN DIEGO CA
92122-2549
US

IV. Provider business mailing address

5200 GENESEE CV APT 207
SAN DIEGO CA
92122-2549
US

V. Phone/Fax

Practice location:
  • Phone: 917-733-4007
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: