Healthcare Provider Details

I. General information

NPI: 1871109223
Provider Name (Legal Business Name): MIREYA NUNEZ FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2020
Last Update Date: 09/29/2025
Certification Date: 09/29/2025
Deactivation Date: 09/10/2025
Reactivation Date: 09/25/2025

III. Provider practice location address

2705 W ORANGE AVE
ANAHEIM CA
92804-3298
US

IV. Provider business mailing address

2705 W ORANGE AVE
ANAHEIM CA
92804-3203
US

V. Phone/Fax

Practice location:
  • Phone: 714-761-5533
  • Fax:
Mailing address:
  • Phone: 714-761-5533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number131794
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: