Individual
HIRONOBU MORI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
18113 MAGNOLIA ST, FOUNTAIN VALLEY, CA 92708-5647
(714) 962-8300
(714) 962-8399
Mailing address
18113 MAGNOLIA ST, FOUNTAIN VALLEY, CA 92708-5647
(714) 962-8300
(714) 962-8399
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0072860
—
CA
Enumeration date
11/01/2006
Last updated
04/06/2018
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