Healthcare Provider Details

I. General information

NPI: 1699639427
Provider Name (Legal Business Name): MONICA FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 VICTORIA DR
GILROY CA
95020-6730
US

IV. Provider business mailing address

355 VICTORIA DR
GILROY CA
95020-6730
US

V. Phone/Fax

Practice location:
  • Phone: 408-728-3158
  • Fax:
Mailing address:
  • Phone: 408-728-3158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number157081
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: