Provider Demographics
NPI:1164560504
Name:FLORES, PEDRO LUIS (MAS, RRT)
Entity Type:Individual
Prefix:MR
First Name:PEDRO
Middle Name:LUIS
Last Name:FLORES
Suffix:
Gender:M
Credentials:MAS, RRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31309 TEMECULA PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92592-6826
Mailing Address - Country:US
Mailing Address - Phone:951-302-5213
Mailing Address - Fax:951-302-5214
Practice Address - Street 1:31309 TEMECULA PKWY
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-6826
Practice Address - Country:US
Practice Address - Phone:951-302-5214
Practice Address - Fax:951-302-5214
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2018-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA197642279P1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2279P1005XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPulmonary Rehabilitation