Provider Demographics
NPI:1104247774
Name:FLANDEZ, AIDA
Entity type:Individual
Prefix:MS
First Name:AIDA
Middle Name:
Last Name:FLANDEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 PETITE WAY
Mailing Address - Street 2:
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94544-5958
Mailing Address - Country:US
Mailing Address - Phone:510-786-6103
Mailing Address - Fax:
Practice Address - Street 1:25 VAN NESS AVE STE 500
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-6056
Practice Address - Country:US
Practice Address - Phone:415-437-6240
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-26
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZB0600XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherBiostatistician