Healthcare Provider Details

I. General information

NPI: 1144158064
Provider Name (Legal Business Name): ITZURY FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3075 CITRUS CIR STE 240
WALNUT CREEK CA
94598-2667
US

IV. Provider business mailing address

3075 CITRUS CIR STE 240
WALNUT CREEK CA
94598-2667
US

V. Phone/Fax

Practice location:
  • Phone: 916-364-7800
  • Fax: 916-364-7888
Mailing address:
  • Phone: 916-364-7800
  • Fax: 916-364-7888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: