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NPI Code Detail

MEDICARE: MR. GILBERT FLORES M.F.T.

MEDICARE:  MR. GILBERT  FLORES  M.F.T.
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
1106H00000XMarriage & Family TherapistMFC39017CA

General Provider Information

NPI Number : 1952457376
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GILBERT FLORES M.F.T.
Provider Business Mailing Address
First Line : 306 N CURTIS AVE
Second Line :
City : ALHAMBRA
State : CA
Zip : 91801-2120
Country : US
Telephone Number : 626-864-3202
Fax Number : 626-289-3247
Provider Business Practice Location Address
First Line : 1000 S FREMONT AVE
Second Line :
City : ALHAMBRA
State : CA
Zip : 91803-8800
Country : US
Telephone Number : 626-308-9163
Fax Number : 626-289-3247
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2007
Last Update Date : 07/08/2007

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Directions to “ MR. GILBERT FLORES M.F.T.” Practice Location

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