Gore, Theodora

Gore, Theodora is an sole proprietor health care provider with primary practice located at 4650 W Sunset Blvd # 53 , Los Angeles CA 90027-6062. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is her primary health care specialty. Gore, Theodora can be contacted via phone (323) 361-7730.

Contact Information

Primary practice address
4650 W Sunset Blvd # 53 Los Angeles CA 90027-6062
Phone: (323) 361-7730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN522355 California
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN522355 California

Profile Details

NPI number 1689897902
LBN Legal business name Gore, Theodora
Credentials NURSE PRACTIONER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Oct 11th, 2017 - about 8 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.

Request for update

Popular Providers