GLADYS SERVIN DE LA MORA


Address: 2138 N Tustin St, Orange, CA 92865-3712
Phone: 7144504487

GLADYS SERVIN DE LA MORA (NPI# 1669037032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669037032
Entity Type Individual
Full Name GLADYS SERVIN DE LA MORA
Credential RSLD
Practice Address 2138 N Tustin St
Orange
CA 92865-3712
Mailing Address 11605 N Lamar Blvd
Austin
TX 78753-2658
Practice Telephone 7144504487
Practice Fax Number 7176370020
Mailing Telephone 7372226996
Enumeration Date 2019-05-01
Last Update Date 2019-05-01
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
41106 CA Eye and Vision Services Providers

Office Location

Street Address 2138 N TUSTIN ST
City ORANGE
State CA
Zip Code 92865-3712

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972548873 Garfield Beach Cvs LLC Pharmacy 2138 N Tustin St, Orange, CA 92865-3712 2006-06-17
1831754209 Austin Wallace Technician/Technologist 2138 N Tustin St, Orange, CA 92865-3712 2019-05-01
1427613884 John Kawecki Technician/Technologist 2138 N Tustin St, Orange, CA 92865-3712 2019-05-01
1518520824 Susan Mijin Cho Pharmacist 2138 N Tustin St, Orange, CA 92865-3712 2019-04-22
1356845960 Elena Galletto Pharmacist 2138 N Tustin St, Orange, CA 92865-3712 2018-03-19
1700241700 Hang Huynh Pharmacist 2138 N Tustin St, Orange, CA 92865-3712 2015-12-18
1952775116 Jeff Dai Pharmacist 2138 N Tustin St, Orange, CA 92865-3712 2015-11-25
1912371873 Farideh Zonouzi Pharmacist 2138 N Tustin St, Orange, CA 92865-3712 2015-11-16
1164895207 Gary James Greco Pharmacist 2138 N Tustin St, Orange, CA 92865-3712 2015-11-12

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801366489 Kathryn Enslow Behavior Technician 3111 N. Tustin St. #100, Orange, CA 92865 2018-11-27
1992285167 Victoria Barrientes Behavior Technician 3111 N. Tustiv Ave #100, Tustin, CA 92865 2018-08-17
1003263310 Zhihong Acupuncture Clinic Co Clinic/Center 2950 N Glassell St, Suite B, Orange, CA 92865 2016-05-17
1962879387 Charles C. Park D.d.s. A Professional Corporation Dentist 1518 E. Lincoln Ave., Orange, CA 92865 2015-09-02
1275913535 David M. Datu Dentist 1107 E. Lincoln Ave, #201, Orange, CA 92865 2015-06-02
1114107505 Life Hearing Inc. Hearing Instrument Specialist 1635 E. Lincoln Ave., Orange, CA 92865 2007-11-14
1013118488 David M Datu Dds Dentist 1107 E Lincoln Ave, Suite #201, Orange, CA 92865 2007-05-31
1831222611 Amini Dental Corporation Dentist 1916 N Tustin St, Orange, CA 92865 2007-03-13
1598811341 Linda Rose Cook Counselor 202 W Lincoln Ave, Suite F, Orange, CA 92865 2007-01-26
1467525543 Hee S Kwon Acupuncturist 1516 E Lincoln Ave, Orange, CA 92865 2006-11-16
Find all providers in zip 92865

Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477069730 Cvs Aoc Corporation Technician/Technologist 2138 N Tustin St # 9749, Orange, CA 92865-3712 2017-12-22
1023547619 National Vision. Inc. Technician/Technologist 970 N Tustin St Ste A, Orange, CA 92867-5967 2017-06-07
1831754209 Austin Wallace Technician/Technologist 2138 N Tustin St, Orange, CA 92865-3712 2019-05-01
1427613884 John Kawecki Technician/Technologist 2138 N Tustin St, Orange, CA 92865-3712 2019-05-01
1083022339 Weverton Depaula Technician/Technologist 240 Indian River Rd, C-3, Orange, CT 06477-3649 2014-07-31
1548670094 Veo Vision Center, LLC Technician/Technologist 240 Indian River Rd, C-3, Orange, CT 06477-3649 2014-05-06
1700152642 Sylvia Dale Bickham Technician/Technologist 1502 Strickland Dr Ste 2, Orange, TX 77630 2012-03-26
1417199183 Hiep Q Dinh Technician/Technologist 2836 E Chapman Ave, Orange, CA 92869-3200 2009-03-27
1225288095 Douglas J Dupell Technician/Technologist 119 New Athol Rd, Orange, MA 01364-9603 2008-09-29
1235389008 William M Grant Technician/Technologist 119 New Athol Rd, Orange, MA 01364-9603 2008-09-29
Find all providers in ORANGE

Competitor

Search similar providers

City ORANGE
Zip Code 92865

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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