Healthcare Provider Details

I. General information

NPI: 1457717027
Provider Name (Legal Business Name): MIGUEL FLORES CHIROPRACTIC APC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2016
Last Update Date: 12/12/2023
Certification Date: 12/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30332 ESPERANZA
RANCHO SANTA MARGARITA CA
92688-2118
US

IV. Provider business mailing address

30332 ESPERANZA
RANCHO SANTA MARGARITA CA
92688-2118
US

V. Phone/Fax

Practice location:
  • Phone: 909-858-6346
  • Fax: 949-264-6928
Mailing address:
  • Phone: 949-973-5945
  • Fax: 949-973-5945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: JACINTO FLORES-ALVAREZ
Title or Position: PROVIDER
Credential: DC
Phone: 949-264-6440