Healthcare Provider Details

I. General information

NPI: 1669309118
Provider Name (Legal Business Name): SEMILLAS Y FLORES THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8828 PERSHING DR APT 140
PLAYA DEL REY CA
90293-8006
US

IV. Provider business mailing address

8828 PERSHING DR APT 140
PLAYA DEL REY CA
90293-8006
US

V. Phone/Fax

Practice location:
  • Phone: 310-400-6776
  • Fax:
Mailing address:
  • Phone: 310-400-6776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JEANETTE FLORES
Title or Position: CEO/OWNER
Credential: LCSW
Phone: 310-774-6457