MEDICARE: EDITH LOPEZ FLORES LVN

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	164X00000X	Licensed Vocational Nurse	749893	CA

General Provider Information

NPI Number	:	1558298703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDITH LOPEZ FLORES LVN

Provider Business Mailing Address
First Line	:	212 HARDING AVE APT A
Second Line	:
City	:	SAN FERNANDO
State	:	CA
Zip	:	91340-2787
Country	:	US
Telephone Number	:	818-941-9181
Fax Number	:

Provider Business Practice Location Address
First Line	:	907 PICO BLVD
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90405-1326
Country	:	US
Telephone Number	:	310-314-6200
Fax Number	:

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

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	06/10/2026

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Directions to “ EDITH LOPEZ FLORES LVN” Practice Location

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