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Individual

DR. SONYA MITROVICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
26671 ALISO CREEK RD, SUITE304, ALISO VIEJO, CA 92656-4809
(949) 831-3686
Mailing address
31 VISTA TRAMONTO, NEWPORT COAST, CA 92657-1402
(949) 394-2763

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
G87431
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
G87431
CERTIFICATE NO
CA
Enumeration date
06/07/2007
Last updated
07/08/2007
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