Provider Demographics
NPI:1356959209
Name:FLORES, NATALIE (COMMUNITY WORKER)
Entity type:Individual
Prefix:MISS
First Name:NATALIE
Middle Name:
Last Name:FLORES
Suffix:
Gender:F
Credentials:COMMUNITY WORKER
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:
Other - Last Name:FLORES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CHW
Mailing Address - Street 1:8300 S VERMONT AVE FL 1
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90044-3493
Mailing Address - Country:US
Mailing Address - Phone:323-525-6400
Mailing Address - Fax:323-565-2133
Practice Address - Street 1:20101 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502-1351
Practice Address - Country:US
Practice Address - Phone:323-525-6400
Practice Address - Fax:323-565-2133
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-16
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA0000000172V00000X
225400000X, 171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No172V00000XOther Service ProvidersCommunity Health Worker
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner