Provider Demographics
NPI:1831786003
Name:VICTORIA N. FLORES, MD INC
Entity type:Organization
Organization Name:VICTORIA N. FLORES, MD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:FLORES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:562-412-9144
Mailing Address - Street 1:570 NEVADA ST STE H
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373-3139
Mailing Address - Country:US
Mailing Address - Phone:909-255-1507
Mailing Address - Fax:909-792-8378
Practice Address - Street 1:570 NEVADA ST STE H
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-3139
Practice Address - Country:US
Practice Address - Phone:909-255-1507
Practice Address - Fax:909-792-8378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No305S00000XManaged Care OrganizationsPoint of Service