MEDICARE: JENSYLLE FLORES

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
1	172V00000X	Community Health Worker
2	373H00000X	Day Training/Habilitation Specialist

General Provider Information

NPI Number	:	1518420371
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENSYLLE FLORES

Provider Business Mailing Address
First Line	:	16911 BELLFLOWER BLVD
Second Line	:
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-5903
Country	:	US
Telephone Number	:	562-866-8956
Fax Number	:

Provider Business Practice Location Address
First Line	:	16911 BELLFLOWER BLVD
Second Line	:
City	:	BELLFLOWER
State	:	CA
Zip	:	90706-5903
Country	:	US
Telephone Number	:	562-866-8956
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/09/2019
Last Update Date	:	05/01/2025

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Directions to “ JENSYLLE FLORES ” Practice Location

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