Provider Demographics
NPI:1427856194
Name:FLORES, DELILAH MONIQUE (RADT)
Entity type:Individual
Prefix:
First Name:DELILAH
Middle Name:MONIQUE
Last Name:FLORES
Suffix:
Gender:
Credentials:RADT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46470 RUBIDOUX ST APT 2
Mailing Address - Street 2:
Mailing Address - City:INDIO
Mailing Address - State:CA
Mailing Address - Zip Code:92201-5738
Mailing Address - Country:US
Mailing Address - Phone:951-250-4961
Mailing Address - Fax:
Practice Address - Street 1:50173 CALLE MARBELLA
Practice Address - Street 2:
Practice Address - City:COACHELLA
Practice Address - State:CA
Practice Address - Zip Code:92236-5542
Practice Address - Country:US
Practice Address - Phone:442-256-3145
Practice Address - Fax:760-398-9790
Is Sole Proprietor?:No
Enumeration Date:2025-03-06
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARH0012160523101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)