Provider Demographics
NPI:1265708531
Name:FLORES RIOS, JOHANA ESTHER (MD)
Entity type:Individual
Prefix:
First Name:JOHANA
Middle Name:ESTHER
Last Name:FLORES RIOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:JOHANA
Other - Middle Name:ESTHER
Other - Last Name:FLORES RIOS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3727 W. 6TH ST.
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90020
Mailing Address - Country:US
Mailing Address - Phone:213-637-1070
Mailing Address - Fax:213-251-8647
Practice Address - Street 1:3727 W. 6TH ST.
Practice Address - Street 2:SUITE 200
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90020
Practice Address - Country:US
Practice Address - Phone:213-637-1070
Practice Address - Fax:213-251-8647
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-30
Last Update Date:2016-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA122420207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine