Mora, Ana R

Mora, Ana R is an sole proprietor health care provider with primary practice located at 1633 S Alameda St , Compton CA 90220-4976. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Mora, Ana R can be contacted via phone (310) 627-5600.

Contact Information

Primary practice address
1633 S Alameda St Compton CA 90220-4976
Phone: (310) 627-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X 57847 California

Profile Details

NPI number 1740892306
LBN Legal business name Mora, Ana R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2020
Last updated Aug 17th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740892306 NPPES
California MEDICAID NA

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