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Individual

MRS. CARLA SUZANNE WELLS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4050 BARRANCA PKWY STE 200, IRVINE, CA 92604-1723
(949) 559-1911
(949) 559-4071
Mailing address
4050 BARRANCA PKWY STE 200, IRVINE, CA 92604-1723
(949) 559-1911
(949) 559-4071

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
G80278
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
G80278
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G802780
CA
Enumeration date
12/19/2006
Last updated
06/28/2021
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