Provider Demographics
NPI:1366991200
Name:ESKANDER, FLORA
Entity type:Individual
Prefix:
First Name:FLORA
Middle Name:
Last Name:ESKANDER
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 1:2124 MAIN ST
Mailing Address - Street 2:165
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-2405
Mailing Address - Country:US
Mailing Address - Phone:714-500-4582
Mailing Address - Fax:
Practice Address - Street 1:2124 MAIN ST
Practice Address - Street 2:165
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-2405
Practice Address - Country:US
Practice Address - Phone:714-500-4582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-03
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA78879106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist