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Organization
MIA BELLA PEDIATRICS
Active
Organization
MIA BELLA PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE LYNN MCNULTY M.D. (PRESIDENT)
(949) 206-0001
Entity
Organization
Contact information
Practice address
26161 LA PAZ RD STE 115, MISSION VIEJO, CA 92691-5317
(949) 206-0001
(949) 206-0011
Mailing address
26161 LA PAZ RD STE 115, MISSION VIEJO, CA 92691-5317
(949) 206-0001
(949) 206-0011
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A74237
NE
Other
Enumeration date
06/01/2007
Last updated
08/22/2020
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