Moore, Jan Solomon
Moore, Jan Solomon is an individual health care provider with primary practice located at 14434 Hamlin St Suite 1, Van Nuys CA 91401-1461. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Moore, Jan Solomon can be contacted via phone (818) 785-4040.Contact Information
Primary practice address
14434 Hamlin St Suite 1
Van Nuys CA 91401-1461
Phone: (818) 785-4040
Fax: (818) 785-4608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8910TPL | California |
Profile Details
| NPI number | 1891874731 |
|---|---|
| LBN Legal business name | Moore, Jan Solomon |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jan 22nd, 2019 - about 5 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 | 1891874731 | NPPES |
| California | MEDICAID | SD0089100 |
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