Flores, Divina Gracia J.
Flores, Divina Gracia J. is an individual health care provider with primary practice located at 7373 West Ln , Stockton CA 95210-3377. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Flores, Divina Gracia J. can be contacted via phone (209) 476-2000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | A75782 | California |
Profile Details
| NPI number | 1609948454 |
|---|---|
| LBN Legal business name | Flores, Divina Gracia J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2006 |
| Last updated | Jan 18th, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609948454 | NPPES |
| California | MEDICAID | 00A757820 |
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