Provider Demographics
NPI:1902148844
Name:FLODMAN, PAMELA (MSC, MS, CGC)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:
Last Name:FLODMAN
Suffix:
Gender:F
Credentials:MSC, MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 CITY BLVD W
Mailing Address - Street 2:SUITE 800
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2903
Mailing Address - Country:US
Mailing Address - Phone:714-456-5789
Mailing Address - Fax:714-456-5330
Practice Address - Street 1:333 CITY BLVD W
Practice Address - Street 2:SUITE 800
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2903
Practice Address - Country:US
Practice Address - Phone:714-456-5789
Practice Address - Fax:714-456-5330
Is Sole Proprietor?:No
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAGC000348170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS