Provider Demographics
NPI:1255987640
Name:FLORES LOPEZ, ORLANDO ALAN
Entity type:Individual
Prefix:DR
First Name:ORLANDO
Middle Name:ALAN
Last Name:FLORES LOPEZ
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 N ARNAZ ST
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-1505
Mailing Address - Country:US
Mailing Address - Phone:805-798-0784
Mailing Address - Fax:
Practice Address - Street 1:1205 S OXNARD BLVD
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93030-7419
Practice Address - Country:US
Practice Address - Phone:805-483-6510
Practice Address - Fax:805-483-6562
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-13
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA70999183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist