1356959209 NPI number — MISS NATALIE FLORES COMMUNITY WORKER

Table of content: MISS NATALIE FLORES COMMUNITY WORKER (NPI 1356959209)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1356959209 NPI number — MISS NATALIE FLORES COMMUNITY WORKER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FLORES
Provider First Name:
NATALIE
Provider Middle Name:
Provider Name Prefix Text:
MISS
Provider Name Suffix Text:
Provider Credential Text:
COMMUNITY WORKER
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
FLORES
Provider Other First Name:
NATALIE
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CHW
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1356959209
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/30/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8300 S VERMONT AVE FL 1
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOS ANGELES
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90044-3493
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
323-525-6400
Provider Business Mailing Address Fax Number:
323-565-2133

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
20101 HAMILTON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TORRANCE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90502-1351
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
323-525-6400
Provider Business Practice Location Address Fax Number:
323-565-2133
Provider Enumeration Date:
07/16/2020

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 172V00000X , with the licence number:  0000000 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 171M00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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