Provider Demographics
NPI:1750305868
Name:FLORES, CHRISTINA (DPM)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 56183
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95156-6183
Mailing Address - Country:US
Mailing Address - Phone:408-258-8919
Mailing Address - Fax:
Practice Address - Street 1:3102 STORY RD
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95127-3815
Practice Address - Country:US
Practice Address - Phone:408-258-8919
Practice Address - Fax:408-258-5858
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAE3939213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist