Servin De La Mora, Gladys

Servin De La Mora, Gladys is an individual health care provider with primary practice located at 2138 N Tustin St , Orange CA 92865-3712. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Servin De La Mora, Gladys can be contacted via phone (714) 450-4487.

Contact Information

Primary practice address
2138 N Tustin St Orange CA 92865-3712
Phone: (714) 450-4487
Fax: (717) 637-0020
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 41106 California

Profile Details

NPI number 1669037032
LBN Legal business name Servin De La Mora, Gladys
Credentials RSLD
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2019
Last updated May 1st, 2019 - 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.

Request for update

Popular Providers