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NPI Code Detail

MEDICARE: AMBER DAWN FLORES

MEDICARE: AMBER DAWN FLORES
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
1183500000XPharmacist84707CA

General Provider Information

NPI Number : 1336814987
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER DAWN FLORES
Provider Business Mailing Address
First Line : 11621 VICILIA ST
Second Line :
City : GARDEN GROVE
State : CA
Zip : 92841-1945
Country : US
Telephone Number : 562-360-5864
Fax Number :
Provider Business Practice Location Address
First Line : 4322 S FIGUEROA ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90037-2642
Country : US
Telephone Number : 323-235-3535
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2021
Last Update Date : 08/14/2021

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Directions to “ AMBER DAWN FLORES ” Practice Location

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