MEDICARE: MONICA E. 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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1710584735
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MONICA E. FLORES

Provider Business Mailing Address
First Line	:	1805 W AVENUE K STE 107
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93534-5925
Country	:	US
Telephone Number	:	818-621-1398
Fax Number	:

Provider Business Practice Location Address
First Line	:	1805 W AVENUE K STE 107
Second Line	:
City	:	LANCASTER
State	:	CA
Zip	:	93534-5925
Country	:	US
Telephone Number	:	818-621-1398
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS OWNER
Name	:	MISS MONICA E FLORES
Credential	:	M.S
Telephone Number	:	818-621-1398

Provider Enumeration Date	:	10/02/2020
Last Update Date	:	10/02/2020

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