Stallings, Harriet G.

Stallings, Harriet G. is an individual health care provider with primary practice located at 10130 Warner Ave Suite J, Fountain Valley CA 92708-1619. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Stallings, Harriet G. can be contacted via phone (714) 965-5130.

Contact Information

Primary practice address
10130 Warner Ave Suite J Fountain Valley CA 92708-1619
Phone: (714) 965-5130
Fax: (714) 965-8265
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 8592T California

Profile Details

NPI number 1366413379
LBN Legal business name Stallings, Harriet G.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Jul 8th, 2007 - about 17 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 1366413379 NPPES
California MEDICAID 8626328

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