Individual
DR. BONNIE PITTALUGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
29472 AVENIDA DE LAS BANDERA, RANCHO SANTA MARGARITA, CA 92688-2651
(949) 459-9968
(949) 766-2565
Mailing address
29472 AVENIDA DE LAS BANDERA, RANCHO SANTA MARGARITA, CA 92688-2651
(714) 665-1600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A83989
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A839890
—
CA
Enumeration date
12/15/2005
Last updated
07/03/2019
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