Provider Demographics
NPI:1730268699
Name:FLORES, ABEL MANUEL (DC)
Entity type:Individual
Prefix:MR
First Name:ABEL
Middle Name:MANUEL
Last Name:FLORES
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 MACDONALD AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94805
Mailing Address - Country:US
Mailing Address - Phone:510-232-4787
Mailing Address - Fax:510-232-4787
Practice Address - Street 1:4505 MACDONALD AVE
Practice Address - Street 2:SUITE A
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94805-2363
Practice Address - Country:US
Practice Address - Phone:510-232-4787
Practice Address - Fax:510-232-4787
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17134111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor