Flores Cordero, Ivan

Flores Cordero, Ivan is an sole proprietor health care provider with primary practice located at 11133 Washington Blvd , Culver City CA 90232-3918. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Flores Cordero, Ivan can be contacted via phone (310) 895-2345.

Contact Information

Primary practice address
11133 Washington Blvd Culver City CA 90232-3918
Fax: (319) 895-2353
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X M-RAS F1301181626 California

Profile Details

NPI number 1841611514
LBN Legal business name Flores Cordero, Ivan
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 26th, 2013
Last updated Dec 30th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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