Provider Demographics
NPI:1871322974
Name:FLORES, RITA ELENA (AUD)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:ELENA
Last Name:FLORES
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4414 WOODVIEW ST
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-1523
Mailing Address - Country:US
Mailing Address - Phone:916-628-4384
Mailing Address - Fax:
Practice Address - Street 1:UC DAVIS MADICAL GROUP-NATOMAS
Practice Address - Street 2:2400 DEL PASO RD, SUITE #145
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95834
Practice Address - Country:US
Practice Address - Phone:916-734-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3934237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter