Individual
JORGE FLORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1980 ALLSTON WAY # H105, BERKELEY, CA 94704-1463
(510) 898-9099
Mailing address
1980 ALLSTON WAY # H105, BERKELEY, CA 94704-1463
(510) 898-9099
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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