Mora, Gisela
Mora, Gisela is an sole proprietor health care provider with primary practice located at 718 Mulberry Ln , El Centro CA 92243-4461. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Mora, Gisela can be contacted via phone (760) 604-5064.Contact Information
Primary practice address
718 Mulberry Ln
El Centro CA 92243-4461
Phone: (760) 604-5064
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 102061 | California |
Profile Details
| NPI number | 1982113239 |
|---|---|
| LBN Legal business name | Mora, Gisela |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 29th, 2017 |
| Last updated | Sep 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982113239 | NPPES |
| California | MEDICAID | 102061 |
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