Healthcare Provider Details

I. General information

NPI: 1023182599
Provider Name (Legal Business Name): ISABELLA FLORES-MERRITT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 06/02/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6501 COYLE AVE
CARMICHAEL CA
95608-0306
US

IV. Provider business mailing address

3240 TACOMA NARROWS ST
W SACRAMENTO CA
95691-5811
US

V. Phone/Fax

Practice location:
  • Phone: 916-423-3255
  • Fax: 916-483-4748
Mailing address:
  • Phone: 916-372-5555
  • Fax: 916-483-4748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA84790
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: