Basic Information
Provider Information
NPI: 1225005648
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FLORES
FirstName: FRANCISCO
MiddleName: N
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: FLORES
OtherFirstName: FRANK
OtherMiddleName: N
OtherNamePrefix: DR.
OtherNameSuffix:  
OtherCredential: M.D.
OtherLastNameType: 5
Mailing Information
Address1: 20750 VENTURA BLVD
Address2: STE 210
City: WOODLAND HILLS
State: CA
PostalCode: 913646235
CountryCode: US
TelephoneNumber: 8185500900
FaxNumber: 8185500909
Practice Location
Address1: 12660 RIVERSIDE DR
Address2: STE 300
City: STUDIO CITY
State: CA
PostalCode: 916073431
CountryCode: US
TelephoneNumber: 8186235310
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/03/2006
LastUpdateDate: 04/05/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000XA73211CAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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