Healthcare Provider Details

I. General information

NPI: 1316862493
Provider Name (Legal Business Name): ERICKA FLORES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

608 G ST STE 1A
BRAWLEY CA
92227-2567
US

IV. Provider business mailing address

516 W ATEN RD STE 2
IMPERIAL CA
92251-9805
US

V. Phone/Fax

Practice location:
  • Phone: 760-545-0247
  • Fax: 760-351-1011
Mailing address:
  • Phone: 760-355-7730
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number95040660
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: