Provider Demographics
NPI:1962694596
Name:FLORES, GEORGE RAYMOND (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:RAYMOND
Last Name:FLORES
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:101 2ND ST
Mailing Address - Street 2:24TH FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94105-3672
Mailing Address - Country:US
Mailing Address - Phone:415-356-4645
Mailing Address - Fax:415-343-0220
Practice Address - Street 1:101 2ND ST
Practice Address - Street 2:24TH FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94105-3672
Practice Address - Country:US
Practice Address - Phone:415-356-4645
Practice Address - Fax:415-343-0220
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2007-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC 39195207Q00000X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAC 39195OtherCALIFORNIA MD LICENSE