Provider Demographics
NPI:1326615295
Name:SIERRA HEALTHCARE PARTNERS INC
Entity Type:Organization
Organization Name:SIERRA HEALTHCARE PARTNERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BYRON
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-215-1506
Mailing Address - Street 1:2060 MARENGO ST # 200
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90033-1353
Mailing Address - Country:US
Mailing Address - Phone:213-215-1506
Mailing Address - Fax:323-222-1212
Practice Address - Street 1:2060 MARENGO ST # 200
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90033-1353
Practice Address - Country:US
Practice Address - Phone:213-215-1506
Practice Address - Fax:323-222-1212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service