Healthcare Provider Details

I. General information

NPI: 1508316191
Provider Name (Legal Business Name): ARACELI FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2016
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5911 VALE WAY
SAN DIEGO CA
92115-5411
US

IV. Provider business mailing address

5911 VALE WAY
SAN DIEGO CA
92115-5411
US

V. Phone/Fax

Practice location:
  • Phone: 775-313-3903
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number30944
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: