Healthcare Provider Details

I. General information

NPI: 1871816561
Provider Name (Legal Business Name): CARINA C. FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2010
Last Update Date: 03/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 CARROLL AVE
SAN FRANCISCO CA
94124-3219
US

IV. Provider business mailing address

1625 CARROLL AVE
SAN FRANCISCO CA
94124-3219
US

V. Phone/Fax

Practice location:
  • Phone: 415-822-8200
  • Fax: 415-822-6822
Mailing address:
  • Phone: 415-822-8200
  • Fax: 415-822-6822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License NumberB3826607
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: