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Individual

DR. RICARDO R FLORES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1400 EAST CHURCH STREET, BUILDING 8, SANTA MARIA, CA 93454-5906
(805) 739-3561
(805) 739-3560
Mailing address
117 W BUNNY AVE, SANTA MARIA, CA 93458-2805
(805) 739-3561
(805) 739-3560

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
01077810A
IN
2080P0214X
Pediatric Pulmonology Physician
Primary
58554
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201410220
IN
01
CB245285
MEDICARE ID
CA
Enumeration date
12/06/2005
Last updated
01/17/2017
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