MEDICARE: HORTENSIA FLORES GARCIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106S00000X	Behavior Technician	RBT-22-243677	CA

General Provider Information

NPI Number	:	1326751199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HORTENSIA FLORES GARCIA

Provider Business Mailing Address
First Line	:	374 E H ST STE A673
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91910-7484
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	374 E H ST STE A673
Second Line	:
City	:	CHULA VISTA
State	:	CA
Zip	:	91910-7484
Country	:	US
Telephone Number	:	619-618-9005
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/26/2022
Last Update Date	:	12/26/2022

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Directions to “ HORTENSIA FLORES GARCIA ” Practice Location

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