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General NPI Number Information
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NPI Number | 1225502800
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Entity Type | Individual
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Provider Name | GERARDO FLORES
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Gender | Male
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Dates
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Enumeration Date | 01/16/2019
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 2116 ARLINGTON AVE STE 100
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City | LOS ANGELES
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State | CA
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Zip | 90018-1300
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Country | US
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Telephone | 323-334-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 100 W WALNUT ST STE 375
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City | PASADENA
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State | CA
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Zip | 91124-0001
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Country | US
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Telephone | 626-395-7100
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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