Ivan Flores Cordero

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

M-RAS F1301181626 Issued in CA

Practice address

11133 Washington Blvd
Culver City, CA 90232-3918

Phone

(310) 895-2345

Fax

(319) 895-2353

NPI assigned

Dec 26, 2013

Last updated

Dec 30, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1388016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419897600000",
    "number": "1841611514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 SEPULVEDA BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304820",
            "telephone_number": "310-390-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11133 WASHINGTON BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323918",
            "telephone_number": "310-895-2345",
            "fax_number": "319-895-2353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES CORDERO",
        "first_name": "IVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-12-26",
        "last_updated": "2014-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "M-RAS F1301181626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monique Neal Fisher
• Helen Marie Fiteni, MS BCBA
• Zayala Ynece Fitzgerald
• Brian Scott Flame, PSY.D. LMFT
• Arthur Gerald Flatto
• Adrian Flores
• Andrew Flores, ASW
• Blanca S Flores
• Irvin F Flores II
• Manuel Flores

• Addiction (Substance Use Disorder) Counselor in Culver City, CA
• Providers in Culver City, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.