Healthcare Provider Details

I. General information

NPI: 1831012293
Provider Name (Legal Business Name): LORRAINE FLORES MSN, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9900 TAGUS ST UNIT 1
PICO RIVERA CA
90660-1464
US

IV. Provider business mailing address

9900 TAGUS ST UNIT 1
PICO RIVERA CA
90660-1464
US

V. Phone/Fax

Practice location:
  • Phone: 323-767-0250
  • Fax:
Mailing address:
  • Phone: 323-767-0250
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number95388260
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: