Provider Demographics
NPI:1194548552
Name:FLORES, ANGEL CESAR JR
Entity type:Individual
Prefix:
First Name:ANGEL
Middle Name:CESAR
Last Name:FLORES
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 W HEIL AVE
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-3528
Mailing Address - Country:US
Mailing Address - Phone:760-886-4608
Mailing Address - Fax:
Practice Address - Street 1:1060 N IMPERIAL AVE
Practice Address - Street 2:
Practice Address - City:BRAWLEY
Practice Address - State:CA
Practice Address - Zip Code:92227-3302
Practice Address - Country:US
Practice Address - Phone:442-297-0667
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-05
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior Analyst