Healthcare Provider Details

I. General information

NPI: 1285364083
Provider Name (Legal Business Name): CELINA ESTHELLA FLORES SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/14/2022
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7101 STANTON AVE
BUENA PARK CA
90621-3825
US

IV. Provider business mailing address

6885 ORANGETHORPE AVE
BUENA PARK CA
90620-1398
US

V. Phone/Fax

Practice location:
  • Phone: 714-521-8568
  • Fax:
Mailing address:
  • Phone: 714-522-8412
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number22117
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: