Healthcare Provider Details

I. General information

NPI: 1407663057
Provider Name (Legal Business Name): JOCELYN FLORES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23451 MADISON ST STE 290
TORRANCE CA
90505-4737
US

IV. Provider business mailing address

3306 SAN FRANCISCO AVE
LONG BEACH CA
90806-1218
US

V. Phone/Fax

Practice location:
  • Phone: 310-375-1256
  • Fax: 310-375-0981
Mailing address:
  • Phone: 562-477-2397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95033314
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: