Provider Demographics
NPI:1508592031
Name:FLORES, ANA ROCIO (RD, IBCLC)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:ROCIO
Last Name:FLORES
Suffix:
Gender:F
Credentials:RD, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 LINDLEY DR
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-5023
Mailing Address - Country:US
Mailing Address - Phone:424-240-6919
Mailing Address - Fax:
Practice Address - Street 1:501 LINDLEY DR
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-5023
Practice Address - Country:US
Practice Address - Phone:424-240-6919
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-27
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL-307060174N00000X
CA86130784133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No174N00000XOther Service ProvidersLactation Consultant, Non-RN