Doctor Name: | ALEX FLORES |
NPI Number: | 1003086117 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 3340 Kemper St Ste 105 San Diego, CA - 921104906 |
Business Phone Number: | 6195238121 |
Business Fax Number: | 6195238742 |
Mailing Address: | 3340 Kemper St, Ste 105 SAN DIEGO |
State: | CA |
Postal Code: | 921104906 |
Phone Number: | 6195238121 |
Fax Number: | 6195238742 |
NPI Enumeration Date: | 03/04/2008 |
NPI Last Update Date: | 08/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |