Provider Demographics
NPI:1336272863
Name:FLORES, ROSEMARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:ROSEMARIE
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2425 CAMINO DEL RIO S
Mailing Address - Street 2:STE. 180
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3744
Mailing Address - Country:US
Mailing Address - Phone:619-294-2225
Mailing Address - Fax:619-260-1798
Practice Address - Street 1:2425 CAMINO DEL RIO S
Practice Address - Street 2:STE. 180
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3744
Practice Address - Country:US
Practice Address - Phone:619-294-2225
Practice Address - Fax:619-260-1798
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-13
Last Update Date:2016-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC22669111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC22669OtherLICENSE