Healthcare Provider Details

I. General information

NPI: 1255288312
Provider Name (Legal Business Name): JULIETA GUADALUPE FLORES PPS
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2930 GAY AVE
SAN JOSE CA
95127-2322
US

IV. Provider business mailing address

2930 GAY AVE
SAN JOSE CA
95127-2322
US

V. Phone/Fax

Practice location:
  • Phone: 408-928-6800
  • Fax:
Mailing address:
  • Phone: 408-928-6800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: