Individual
JOHN PAUL FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDCC-IV-CS #6027
Contact information
Practice address
315 N CLEMENTINE ST, OCEANSIDE, CA 92054-2806
(619) 623-1797
Mailing address
315 N CLEMENTINE ST, OCEANSIDE, CA 92054-2806
(619) 623-1797
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6027
CADTP-SUDCC-IV-CS
CA
01
—
AII054890418
CCAPP-CADC-II
CA
Enumeration date
12/01/2020
Last updated
05/25/2023
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