Healthcare Provider Details

I. General information

NPI: 1114293313
Provider Name (Legal Business Name): FLOR MOUNTS M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2012
Last Update Date: 11/10/2023
Certification Date: 11/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1751 LOMBARD ST STE A
OXNARD CA
93030-8266
US

IV. Provider business mailing address

1751 LOMBARD ST STE A
OXNARD CA
93030-8266
US

V. Phone/Fax

Practice location:
  • Phone: 805-981-9111
  • Fax: 805-981-8333
Mailing address:
  • Phone: 805-981-9111
  • Fax: 805-981-8333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC180536
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD168094
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: