Provider Demographics
NPI:1245904259
Name:FLORES JUAREZ, CARLOS BRANDON (MS)
Entity type:Individual
Prefix:
First Name:CARLOS
Middle Name:BRANDON
Last Name:FLORES JUAREZ
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1672 W AVENUE J STE 103
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93534-2859
Mailing Address - Country:US
Mailing Address - Phone:661-951-4662
Mailing Address - Fax:
Practice Address - Street 1:1672 W AVENUE J STE 103
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-2859
Practice Address - Country:US
Practice Address - Phone:661-951-4662
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-03
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program