| Louis B Flores Md Inc - A Professional Corporation | |
| 
					11273 Laurel Canyon Blvd Ste 2 San Fernando CA 91340-4357  | |
| (818) 853-2220 | |
| (818) 853-2221 | 
| Full Name | Louis B Flores Md Inc - A Professional Corporation | 
|---|---|
| Speciality | Family Medicine | 
| Location | 11273 Laurel Canyon Blvd Ste 2, San Fernando, California | 
| Authorized Official Name and Position | Louis B Flores (PRESIDENT) | 
| Authorized Official Contact | 8188532220 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Louis B Flores Md Inc - A Professional Corporation 18230 Minnehaha St Northridge CA 91326-3428 Ph: (818) 632-6729  | Louis B Flores Md Inc - A Professional Corporation 11273 Laurel Canyon Blvd Ste 2 San Fernando CA 91340-4357 Ph: (818) 853-2220  | 
| NPI Number | 1053878512 | 
|---|---|
| Provider Enumeration Date | 02/20/2019 | 
| Last Update Date | 02/20/2019 | 
| Medicare PECOS PAC ID | 1052651726 | 
|---|---|
| Medicare Enrollment ID | O20190314002604 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1053878512 | NPI | - | NPPES | 
| A32929 | Other | CA | PRESIDENT'S MEDICAL LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
| Provider Name | Louis B Flores | 
|---|---|
| Provider Type | Practitioner - Family Practice | 
| Provider Identifiers | NPI Number: 1760606123 PECOS PAC ID: 9638163371 Enrollment ID: I20060504000981  | 
Northeast Valley Health Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 San Fernando Road, San Fernando, CA 91340 Phone: 818-365-8086 Fax: 818-898-4826  | |
San Fernando Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 732 Mott St Ste 100, San Fernando, CA 91340 Phone: 818-963-5690  | |
Noble Care Medical Group, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 501 N Maclay Ave, San Fernando, CA 91340 Phone: 818-361-3788 Fax: 818-361-4630  | |
Hope Community Care Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11273 Laurel Canyon Blvd Ste 2, San Fernando, CA 91340 Phone: 818-853-2220 Fax: 818-853-2221  | |
San Fernando Community Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 732 Mott St, Suite 100, San Fernando, CA 91340 Phone: 818-963-5690 Fax: 818-365-0726  | |
County Of Los Angeles Auditor Controller Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 Pico St, San Fernando, CA 91340 Phone: 818-837-6969  |