Individual
MYRA TRIVELLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660-7985
(949) 722-7038
(949) 630-4900
Mailing address
22 CORPORATE PLAZA DR, NEWPORT BEACH, CA 92660-7985
(949) 722-7030
(949) 630-4900
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A163005
CA
Other
Enumeration date
03/23/2017
Last updated
07/07/2023
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