Healthcare Provider Details

I. General information

NPI: 1518850353
Provider Name (Legal Business Name): EDITH FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2025
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44711 CEDAR AVE
LANCASTER CA
93534-3216
US

IV. Provider business mailing address

42845 ELENA ST
LANCASTER CA
93536-5626
US

V. Phone/Fax

Practice location:
  • Phone: 661-948-4661
  • Fax:
Mailing address:
  • Phone: 661-350-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number20928
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: