Corrales, Elisa Flores
Corrales, Elisa Flores is an individual health care provider with primary practice located at 1120 W La Veta Ave Ste 660 & Ste 470 , Orange CA 92868-4244. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Corrales, Elisa Flores can be contacted via phone (714) 509-8481.Contact Information
Primary practice address
1120 W La Veta Ave Ste 660 & Ste 470
Orange CA 92868-4244
Phone: (714) 509-8481
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY27862 | California |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | PSY27862 | California |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY27862 | California |
Profile Details
| NPI number | 1508981846 |
|---|---|
| LBN Legal business name | Corrales, Elisa Flores |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2007 |
| Last updated | Oct 18th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508981846 | NPPES |
| California | Other | PSY27862 | CA PSYCHOLOGY LICENSE |
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