Organization
BLUEBIRD PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROIA KATEBIAN MD (CEO)
(949) 637-4646
Entity
Organization
Contact information
Practice address
303 BROADWAY ST STE 103, LAGUNA BEACH, CA 92651-1816
(949) 627-5437
Mailing address
20 VIA LOMA, LAGUNA NIGUEL, CA 92677-5148
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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