Individual
DR. ELISA FLORES CORRALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1120 W LA VETA AVE STE 660 & STE 470, ORANGE, CA 92868-4244
(714) 509-8481
Mailing address
1201 W LA VETA AVE, ORANGE, CA 92868-4203
(714) 509-8481
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY27862
CA
103TC0700X
Clinical Psychologist
PSY27862
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY27862
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PSY27862
CA PSYCHOLOGY LICENSE
CA
Enumeration date
03/19/2007
Last updated
10/18/2023
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