Healthcare Provider Details

I. General information

NPI: 1114857158
Provider Name (Legal Business Name): ESTEFANI FLORES-SALGADO ED.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29775 HAUN RD
MENIFEE CA
92586-6540
US

IV. Provider business mailing address

4730 E GRANT AVE
FRESNO CA
93702-2609
US

V. Phone/Fax

Practice location:
  • Phone: 951-672-1851
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number220150763
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: