MEDICARE: ANTONIO FLORES JR.

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	1041C0700X	Clinical Social Worker	105491	CA

General Provider Information

NPI Number	:	1619346145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTONIO FLORES JR.

Provider Business Mailing Address
First Line	:	100 N BRAND BLVD # 640
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-2641
Country	:	US
Telephone Number	:	213-434-1949
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 N BRAND BLVD # 640
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91203-2641
Country	:	US
Telephone Number	:	213-434-1949
Fax Number	:

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

Provider Enumeration Date	:	09/15/2015
Last Update Date	:	01/05/2026

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Directions to “ ANTONIO FLORES JR. ” Practice Location

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