Provider Demographics
NPI:1023641537
Name:CARPIO, FLOR DE MARIA
Entity type:Individual
Prefix:
First Name:FLOR
Middle Name:DE MARIA
Last Name:CARPIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15441 NORDHOFF ST APT 19
Mailing Address - Street 2:
Mailing Address - City:NORTH HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91343-3925
Mailing Address - Country:US
Mailing Address - Phone:818-814-0604
Mailing Address - Fax:
Practice Address - Street 1:11201 HERRICK AVE
Practice Address - Street 2:
Practice Address - City:PACOIMA
Practice Address - State:CA
Practice Address - Zip Code:91331-1922
Practice Address - Country:US
Practice Address - Phone:818-814-0604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-13
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker