Randy Amir Flores | Lancaster, CA • PECOS Search

Randy Amir Flores

Case Manager/Care Coordinator

Other Service Providers

506 W Jackman St, Lancaster, CA 93534-2531

PECOS Enrollment

Based on the most recent information from CMS, provider Randy Amir Flores does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1699388512
Provider Type
Individual
Full Name
Flores, Randy Amir
Gender
Male

Sole Proprietor
No
Enumeration Date
8/29/2020
Last Updated
8/29/2020

Contact Information

Practice Location

506 W Jackman St, Lancaster, CA 93534-2531

Unlisted Fax

Mailing Location

506 W Jackman St, Lancaster, CA 93534-2531

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 171M00000X Primary	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer