Grubbs, Tierra Ilicia Leigh
Grubbs, Tierra Ilicia Leigh is an sole proprietor health care provider with primary practice located at 575 Anton Blvd Fl 3 , Costa Mesa CA 92626-7169. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Grubbs, Tierra Ilicia Leigh can be contacted via phone (562) 313-5202.Contact Information
Primary practice address
575 Anton Blvd Fl 3
Costa Mesa CA 92626-7169
Phone: (562) 313-5202
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | D70604 | California |
| Eye and Vision Services Providers / Optician | 156FX1800X | SL40306 | California |
Profile Details
| NPI number | 1164889424 |
|---|---|
| LBN Legal business name | Grubbs, Tierra Ilicia Leigh |
| Credentials | ABOC, FNAO |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 18th, 2016 |
| Last updated | Jan 18th, 2016 - about 9 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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