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Organization
ROBERTA L NIETO M.D. , P.C.
Active
Organization
ROBERTA L NIETO M.D. , P.C.
Active
Other names
Bountiful Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERTA NIETO M.D. (C.E.O)
(714) 942-2643
Entity
Organization
Contact information
Practice address
2811 E KATELLA AVE STE 203, ORANGE, CA 92867-5247
(714) 942-2643
Mailing address
2811 E KATELLA AVE STE 203, ORANGE, CA 92867-5247
(714) 942-2643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/13/2021
Last updated
11/03/2022
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