Fragoso-Corona, Alma

Fragoso-Corona, Alma is an sole proprietor health care provider with primary practice located at 15330 Amar Rd Ste A , La Puente CA 91744-2001. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Fragoso-Corona, Alma can be contacted via phone (626) 961-0432.

Contact Information

Primary practice address
15330 Amar Rd Ste A La Puente CA 91744-2001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 11551T California

Profile Details

NPI number 1417000522
LBN Legal business name Fragoso-Corona, Alma
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jan 28th, 2008 - about 16 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417000522 NPPES
California MEDICAID SD0011551

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