Healthcare Provider Details

I. General information

NPI: 1871322974
Provider Name (Legal Business Name): RITA ELENA FLORES AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2024
Last Update Date: 07/29/2024
Certification Date: 07/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UC DAVIS MADICAL GROUP-NATOMAS 2400 DEL PASO RD, SUITE #145
SACRAMENTO CA
95834
US

IV. Provider business mailing address

4414 WOODVIEW ST
CARMICHAEL CA
95608-1523
US

V. Phone/Fax

Practice location:
  • Phone: 916-734-5400
  • Fax:
Mailing address:
  • Phone: 916-628-4384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number3934
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number3934
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: