Healthcare Provider Details

I. General information

NPI: 1629992672
Provider Name (Legal Business Name): LUCIA FLORES-CONTRERAS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3777 LONG BEACH BLVD
LONG BEACH CA
90807-3325
US

IV. Provider business mailing address

4759 LEXINGTON RD
PICO RIVERA CA
90660-2348
US

V. Phone/Fax

Practice location:
  • Phone: 562-317-5030
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT27719
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: