Provider Demographics
NPI:1245927169
Name:FLORES, TERESE
Entity type:Individual
Prefix:
First Name:TERESE
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5825 E CREEKSIDE AVE UNIT 21
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-3171
Mailing Address - Country:US
Mailing Address - Phone:714-726-4846
Mailing Address - Fax:
Practice Address - Street 1:5825 E CREEKSIDE AVE UNIT 21
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-3171
Practice Address - Country:US
Practice Address - Phone:714-726-4846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula