Provider Demographics
NPI:1710178827
Name:FLORIAN MEDICAL CLINIC INC.
Entity Type:Organization
Organization Name:FLORIAN MEDICAL CLINIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HUMBERTO
Authorized Official - Middle Name:AGUSTIN
Authorized Official - Last Name:FLORIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:714-539-2200
Mailing Address - Street 1:2090 S EUCLID ST #104
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92802
Mailing Address - Country:US
Mailing Address - Phone:714-539-2200
Mailing Address - Fax:714-539-2277
Practice Address - Street 1:2090 S EUCLID ST #104
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92802
Practice Address - Country:US
Practice Address - Phone:714-539-2200
Practice Address - Fax:714-539-2277
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:FLORIAN MEDICAL CLINIC INC,
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-08-05
Last Update Date:2009-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center