Healthcare Provider Details

I. General information

NPI: 1811811037
Provider Name (Legal Business Name): GABRIELA ILLEANA FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16024 VENANGO RD
APPLE VALLEY CA
92307-2434
US

IV. Provider business mailing address

16024 VENANGO RD
APPLE VALLEY CA
92307-2434
US

V. Phone/Fax

Practice location:
  • Phone: 760-810-5812
  • Fax:
Mailing address:
  • Phone: 760-810-5812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: