Provider Demographics
NPI:1225756919
Name:FLORES, ARMANDO III (FNP)
Entity Type:Individual
Prefix:
First Name:ARMANDO
Middle Name:
Last Name:FLORES
Suffix:III
Gender:M
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39589 LOS ALAMOS RD STE B
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-5026
Mailing Address - Country:US
Mailing Address - Phone:951-216-8768
Mailing Address - Fax:
Practice Address - Street 1:39589 LOS ALAMOS RD STE B
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-5026
Practice Address - Country:US
Practice Address - Phone:951-216-8768
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-18
Last Update Date:2022-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95021753363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily