Healthcare Provider Details

I. General information

NPI: 1942683362
Provider Name (Legal Business Name): ERIC FLANDROIS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2015
Last Update Date: 06/10/2025
Certification Date: 06/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23228 MADERO
MISSION VIEJO CA
92691
US

IV. Provider business mailing address

23228 MADERO
MISSION VIEJO CA
92691-2706
US

V. Phone/Fax

Practice location:
  • Phone: 949-701-0880
  • Fax:
Mailing address:
  • Phone: 949-701-0880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225400000X
TaxonomyRehabilitation Practitioner
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: