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
Fax: (714) 962-8399
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760569834 NPPES
California MEDICAID SD0072860

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