Healthcare Provider Details

I. General information

NPI: 1003720483
Provider Name (Legal Business Name): IZEL EMANUEL FLORES
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 6TH ST
HAMILTON CITY CA
95951
US

IV. Provider business mailing address

419 PAPST AVE
ORLAND CA
95963-1509
US

V. Phone/Fax

Practice location:
  • Phone: 530-826-3331
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: