Mori, Hironobu
Mori, Hironobu is an sole proprietor health care provider with primary practice located at 18113 Magnolia St , Fountain Valley CA 92708-5647. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mori, Hironobu can be contacted via phone (714) 962-8300.Contact Information
Primary practice address
18113 Magnolia St
Fountain Valley CA 92708-5647
Phone: (714) 962-8300
Fax: (714) 962-8399
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 7286 | California |
Profile Details
| NPI number | 1760569834 |
|---|---|
| LBN Legal business name | Mori, Hironobu |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Apr 6th, 2018 - about 6 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 | 1760569834 | NPPES |
| California | MEDICAID | SD0072860 |
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