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NPI Code Detail

MEDICARE: DR. HECTOR FLORES M.D.

MEDICARE: DR. HECTOR FLORES M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianG52360CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3080034908OTHERGAMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200G523600OTHERCABLUE SHIELD

General Provider Information

NPI Number : 1124070578
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HECTOR FLORES M.D.
Provider Business Mailing Address
First Line : 5823 YORK BLVD STE 3
Second Line :
City : LOS ANGELES
State : CA
Zip : 90042-2634
Country : US
Telephone Number : 323-255-5643
Fax Number : 323-254-2158
Provider Business Practice Location Address
First Line : 815 WASHINGTON BLVD
Second Line :
City : MONTEBELLO
State : CA
Zip : 90640-6123
Country : US
Telephone Number : 323-728-3955
Fax Number : 323-728-6905
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 01/11/2018

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Directions to “ DR. HECTOR FLORES M.D.” Practice Location

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