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NPI Code Detail

MEDICARE: STEVEN PAUL FLORES

MEDICARE: STEVEN PAUL 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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1396026290
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN PAUL FLORES
Provider Business Mailing Address
First Line : 1100 N D ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92410-3524
Country : US
Telephone Number : 909-381-3774
Fax Number : 323-722-4450
Provider Business Practice Location Address
First Line : 1100 N D ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92410-3524
Country : US
Telephone Number : 909-381-3774
Fax Number : 323-722-4450
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2011
Last Update Date : 12/04/2025

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