Provider Demographics
NPI:1578634747
Name:FLORES, ROBERTO JR. S IV
Entity Type:Individual
Prefix:MR
First Name:ROBERTO JR.
Middle Name:S
Last Name:FLORES
Suffix:IV
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6915 PHELPS RD APT 11
Mailing Address - Street 2:
Mailing Address - City:GOLETA
Mailing Address - State:CA
Mailing Address - Zip Code:93117-4071
Mailing Address - Country:US
Mailing Address - Phone:805-685-5831
Mailing Address - Fax:
Practice Address - Street 1:4861 FRANCES ST
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2821
Practice Address - Country:US
Practice Address - Phone:805-964-0033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health