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General NPI Number Information
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NPI Number | 1730428004
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Entity Type | Organization
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Legal Business Name | JAMES H FLORES JR MD INC
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 827 DEEP VALLEY DR SUITE #310
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City | ROLLING HILLS ESTATES
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State | CA
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Zip | 90274-3647
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Country | US
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Telephone | 310-544-0828
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Fax | 310-377-5536
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Provider Business Mailing Address
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Address Line | 827 DEEP VALLEY DR SUITE #310
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City | ROLLING HILLS ESTATES
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State | CA
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Zip | 90274-3647
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Country | US
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Telephone | 310-544-0828
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Fax | 310-377-5536
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Authorized Official
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Title or Position | OWNER
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Name | DR. JAMES HENRY FLORES JR.
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Credential | MD
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Telephone | 310-544-0828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number | G067438
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License Number State | CA
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