MEDICARE: DR. BYRON FLORES M.D.

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	208D00000X	General Practice Physician	A52173	CA
2	207R00000X	Internal Medicine Physician	A52173	CA

General Provider Information

NPI Number	:	1881601383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BYRON FLORES M.D.

Provider Business Mailing Address
First Line	:	8730 OLAND DR
Second Line	:
City	:	SUN VALLEY
State	:	CA
Zip	:	91352-2813
Country	:	US
Telephone Number	:	213-215-1506
Fax Number	:

Provider Business Practice Location Address
First Line	:	928 N SAN FERNANDO BLVD STE J-185
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-4350
Country	:	US
Telephone Number	:	213-215-1506
Fax Number	:

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

Provider Enumeration Date	:	08/01/2006
Last Update Date	:	04/10/2021

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