Individual
MR. ELADIO DIESTO FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2920 WESTMINSTER AVE, SEAL BEACH, CA 90740-5305
(562) 594-8600
(562) 594-4599
Mailing address
8352 YORKSHIRE AVE, ANAHEIM, CA 92804-6769
(562) 303-6207
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
33673
CA
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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