Healthcare Provider Details

I. General information

NPI: 1801700158
Provider Name (Legal Business Name): SANDRA ELIZABETH FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3450 3RD ST STE 1C
SAN FRANCISCO CA
94124-1444
US

IV. Provider business mailing address

910 VIRGINIA AVE
RICHMOND CA
94804-2445
US

V. Phone/Fax

Practice location:
  • Phone: 415-651-7625
  • Fax:
Mailing address:
  • Phone: 415-651-7625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: