Healthcare Provider Details

I. General information

NPI: 1376130534
Provider Name (Legal Business Name): HORTENCIA YVONNE FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2020
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date: 10/27/2025
Reactivation Date: 12/16/2025

III. Provider practice location address

23824 HAWTHORNE BLVD STE 200
TORRANCE CA
90505-5935
US

IV. Provider business mailing address

8019 COMPTON AVE
LOS ANGELES CA
90001-3409
US

V. Phone/Fax

Practice location:
  • Phone: 310-791-3064
  • Fax:
Mailing address:
  • Phone: 323-586-7333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number120602
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number120602
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: