Organization
BELLA MIA PLASTIC AND RECONSTRUCTIVE SURGERY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA LEE M.D. (PRESIDENT)
(951) 925-8876
Entity
Organization
Contact information
Practice address
1169 W RAMSEY ST, BANNING, CA 92220
(951) 925-8876
(951) 925-3575
Mailing address
1169 W RAMSEY ST, BANNING, CA 92220-4443
(951) 925-8876
(951) 925-3575
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
A85329
CA
Other
Enumeration date
07/30/2006
Last updated
02/25/2019
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