Provider Demographics
NPI:1649255480
Name:FLORES-COOPER, MARIA EUGENIA (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:EUGENIA
Last Name:FLORES-COOPER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:EUGENIA
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2050 S BLOSSER RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93458-7310
Mailing Address - Country:US
Mailing Address - Phone:805-361-8028
Mailing Address - Fax:805-361-8097
Practice Address - Street 1:1941 JOHNSON AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-4140
Practice Address - Country:US
Practice Address - Phone:805-548-0033
Practice Address - Fax:805-548-0034
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2016-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA69350207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAFHC71033FMedicaid
CAHAP71031FOtherSFOP
CAFHC70812FMedicaid
CAHAP71031FOtherSFOP
CA551982Medicare Oscar/Certification
CAFHC70812FMedicaid
CA551906Medicare Oscar/Certification
CA00A693500Medicare ID - Type Unspecified
CAG96791Medicare UPIN