Healthcare Provider Details

I. General information

NPI: 1881558922
Provider Name (Legal Business Name): ANGELITA UNIQUE GUTIERREZ-FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 POINTE DR STE 305
BREA CA
92821-7604
US

IV. Provider business mailing address

635 FLYNN ST
RIVERSIDE CA
92507-1141
US

V. Phone/Fax

Practice location:
  • Phone: 888-388-9241
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: