=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902718554
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALMA D FLORES GOVEA MT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/18/2026
-----------------------------------------------------
Last Update Date | 09/18/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 80000 AVENUE 48 SPC 7
-----------------------------------------------------
City | INDIO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92201-6543
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-848-5256
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 556
-----------------------------------------------------
City | COACHELLA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92236-0556
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-848-5256
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | 80311
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------