Mora, Marta L.
Mora, Marta L. is an sole proprietor health care provider with primary practice located at 625 S Fair Oaks Ave Suite 235, Pasadena CA 91105-2664. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Mora, Marta L. can be contacted via phone (626) 796-7006.Contact Information
Primary practice address
625 S Fair Oaks Ave Suite 235
Pasadena CA 91105-2664
Phone: (626) 796-7006
Fax: (626) 796-9990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | A60290 | California |
Profile Details
| NPI number | 1093766651 |
|---|---|
| LBN Legal business name | Mora, Marta L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 16th, 2006 |
| Last updated | Nov 1st, 2021 - about 3 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 | 1093766651 | NPPES |
| California | Other | WA60290B | RENDERING PIN |
| California | Other | WA60290C | RENDERING PIN |
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