Provider Demographics
NPI:1851192108
Name:FLORES, VICTORIA (DC)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:
Last Name:FLORES
Suffix:
Gender:
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2516 FONTEZUELA DR
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-4815
Mailing Address - Country:US
Mailing Address - Phone:626-201-1008
Mailing Address - Fax:
Practice Address - Street 1:158 E FOOTHILL BLVD STE A
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91006-2566
Practice Address - Country:US
Practice Address - Phone:626-921-6819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC36946111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty