Healthcare Provider Details

I. General information

NPI: 1881601383
Provider Name (Legal Business Name): BYRON FLORES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BYRON FLORES SOLORZANO MD

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 04/10/2021
Certification Date: 04/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 N SAN FERNANDO BLVD STE J-185
BURBANK CA
91504-4350
US

IV. Provider business mailing address

8730 OLAND DR
SUN VALLEY CA
91352-2813
US

V. Phone/Fax

Practice location:
  • Phone: 213-215-1506
  • Fax:
Mailing address:
  • Phone: 213-215-1506
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA52173
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberA52173
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: