Healthcare Provider Details

I. General information

NPI: 1396974424
Provider Name (Legal Business Name): BRUNO CESAR CLAUDINO RAMOS FLORES MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: BRUNO CESAR FLORES MD

II. Dates (important events)

Enumeration Date: 07/10/2009
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11199 SORRENTO VALLEY RD STE 203
SAN DIEGO CA
92121-1334
US

IV. Provider business mailing address

11199 SORRENTO VALLEY RD STE 203
SAN DIEGO CA
92121-1334
US

V. Phone/Fax

Practice location:
  • Phone: 858-441-0100
  • Fax: 858-800-8818
Mailing address:
  • Phone: 858-441-0100
  • Fax: 858-800-8818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number151144
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License NumberA151144
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: