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NPI Code Detail

MEDICARE: ALBERTO FLORES LCSW

MEDICARE: ALBERTO FLORES LCSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1801083605
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALBERTO FLORES LCSW
Provider Business Mailing Address
First Line : 2640 MARTIN LUTHER KING JR WAY
Second Line :
City : BERKELEY
State : CA
Zip : 94704-3238
Country : US
Telephone Number : 510-981-5290
Fax Number :
Provider Business Practice Location Address
First Line : 1521 UNIVERSITY AVE
Second Line :
City : BERKELEY
State : CA
Zip : 94703-1422
Country : US
Telephone Number : 510-981-5290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2007
Last Update Date : 03/18/2021

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Directions to “ ALBERTO FLORES LCSW” Practice Location

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