# BELLA MILAGROS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851936926
- **Authorized official:** DR. STEVEN DOMINGUEZ MD (PRESIDENT)
- **Authorized official phone:** (714) 876-5476

## Contact information

- **Practice address:** 13372 NEWPORT AVE STE A, TUSTIN, CA 92780-3426
- **Practice address phone:** (714) 876-5476
- **Practice address fax:** (951) 272-2988
- **Mailing address:** 14831 SHELBURNE CT, EASTVALE, CA 92880-9503
- **Mailing address phone:** (714) 876-5476
- **Mailing address fax:** (951) 272-2988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/13/2019
- **Last updated:** 05/12/2020