EDGARDO R ORTIZ FLORES (NPI# 1184933996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184933996 |
| Entity Type | Individual |
| Full Name | EDGARDO R ORTIZ FLORES |
| Credential | M.D. |
| Practice Address |
1135 S Sunset Ave Ste 301 West Covina CA 91790 |
| Mailing Address |
18000 Studebaker Rd Ste 800 Cerritos CA 90703-2671 |
| Practice Telephone | 6262835183 |
| Practice Fax Number | 6262141547 |
| Mailing Telephone | 5627353226 |
| Mailing Fax Number | 5628691281 |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2018-11-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
A144166 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | STATE DRIVER'S LICENSE | 4554906 | 01 |
| PR | STATE MEDICAL LICENSE | 12779-I | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11480 Brookshire Ave, Suite 309, Downey, CA 902415025 | 5628691201 | 5628691281 |
| Street Address |
1135 S SUNSET AVE STE 301 |
| City | WEST COVINA |
| State | CA |
| Zip Code | 91790 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279067 | Liang-wen Chen | Acupuncturist | 1433 West Merced Ave. Suite 304, West Covina, CA 91790 | 2019-11-15 |
| 1245880517 | Cheuk Man Chan | Acupuncturist | 1433 W Merced Ave., #309, West Covina, CA 91790 | 2019-09-18 |
| 1982174561 | Alexandra Isaacs | Marriage & Family Therapist | 1215 W. West Covina Pkwy., West Covina, CA 91790 | 2018-11-27 |
| 1568949709 | Lulua Zulfikarali Bahrainwala | Student in an Organized Health Care Education/Training Program | 1115 S Sunset Avenue #3940, West Covina, CA 91790 | 2018-07-20 |
| 1417442740 | Lydia Joy David | Nurse Practitioner | 1769 S Sunset Ave, West Covina, CA 91790 | 2018-06-28 |
| 1043721046 | Kimberly E Nevarez | Specialist/Technologist | 410 E Merced Ave Suite D, Suite D, West Covina, CA 91790 | 2017-10-17 |
| 1952825754 | Evan Lee Hendriks | Physician Assistant | 301 S Glendora Ave, Apt 2142, West Covina, CA 91790 | 2017-08-02 |
| 1669994588 | Meryl Francine Liu | Dentist | 1101 S. Glendora Ave #a, West Covina, CA 91790 | 2017-07-12 |
| 1326586330 | Athena Merianos | Marriage & Family Therapist | 1215 W. West Parkway, West Covina, CA 91790 | 2017-02-09 |
| 1912445990 | Lissette Bueno | Case Manager/Care Coordinator | 1517 West Garvey Ave North, West Covina, CA 91790 | 2017-02-09 |
| Find all providers in zip 91790 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932166519 | Phyllis H Klein | Internal Medicine | 1250 S Sunset Ave Ste 303, West Covina, CA 91790-3912 | 2006-04-27 |
| 1326023979 | Brian J Leberthon | Internal Medicine | 1135 S Sunset Ave, Suite # 207, West Covina, CA 91790-3937 | 2005-12-07 |
| 1497930903 | Subhash Dhand | Internal Medicine | 1535 W Merced Ave, #308, West Covina, CA 91790-3404 | 2008-01-02 |
| 1699968503 | Shanmuga Sundaram Pudunagar Subbiah | Internal Medicine | 1250 S Sunset Ave Ste 303, West Covina, CA 91790-3912 | 2007-08-23 |
| 1821202060 | Brian J. Leberthon, Md., A Medical | Internal Medicine | 1135 S Sunset Ave, Suite 207, West Covina, CA 91790-3937 | 2007-05-09 |
| 1215000476 | S Dhand Md Inc | Internal Medicine | 1433 West Merced Ave, # 311, West Covina, CA 91790 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750999140 | Kamalesh K Sankhala Md Inc | Internal Medicine | 127 S San Vicente Blvd Fl 7, Los Angeles, CA 90048-3311 | 2020-07-21 |
| 1396365144 | Collin Vu Md, Inc. | Internal Medicine | 10438 Salinas River Cir, Fountain Valley, CA 92708-6841 | 2020-04-22 |
| 1720626757 | Fenix Health Medical Oncology Group PC | Internal Medicine | 72301 Country Club Dr Ste 109, Rancho Mirage, CA 92270-8007 | 2019-12-20 |
| 1871141598 | Edward A, Wagner, M.d., Inc. | Internal Medicine | 25500 Rancho Niguel Rd Ste 240, Laguna Niguel, CA 92677-7373 | 2019-08-27 |
| 1255988341 | Christopher Lemieux | Internal Medicine | 300 Pasteur Dr # H1010, Stanford, CA 94305-2200 | 2019-08-22 |
| 1063972131 | Titfany Wang | Internal Medicine | 133 N Prairie Ave Ste C, Inglewood, CA 90301-4878 | 2019-03-23 |
| 1649736687 | Adventist Health Physicians Network | Internal Medicine | 95 Declaration Dr Ste 1, Chico, CA 95973-4916 | 2019-02-14 |
| 1518433762 | Teamx Medical Group | Internal Medicine | 7253 N Cherry Ln, Van Nuys, CA 91405-5477 | 2018-10-15 |
| 1508352675 | Oncology Physicians Network of California PC | Internal Medicine | 700 N Brand Blvd Ste 640, Glendale, CA 91203-4271 | 2018-07-02 |
| 1881184026 | R.w. Weber, M.d., A Medical Corporation | Internal Medicine | 1800 Sullivan Ave Rm 603, Daly City, CA 94015-2226 | 2018-05-14 |
| Find all providers with the same taxonomy | ||||
| City | WEST COVINA |
| Zip Code | 91790 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.