Healthcare Provider Details

I. General information

NPI: 1609758648
Provider Name (Legal Business Name): PABLO ROBERTO FLORES APPC, PPS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2025
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1801 S POPLAR ST
SANTA ANA CA
92704-4321
US

IV. Provider business mailing address

1801 S POPLAR ST
SANTA ANA CA
92704-4321
US

V. Phone/Fax

Practice location:
  • Phone: 714-433-3481
  • Fax:
Mailing address:
  • Phone: 714-433-3481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number220119994
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number19147
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: