Individual
DR. BARBARA IRENE PETTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27800 MEDICAL CENTER RD, SUITE 350, MISSION VIEJO, CA 92691-6410
(949) 364-2510
(949) 364-6515
Mailing address
27800 MEDICAL CENTER RD, SUITE 350, MISSION VIEJO, CA 92691-6410
(949) 364-2510
(949) 364-6515
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A037470
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A037470
MEDICAL LICENSE NUMBER
CA
Enumeration date
05/09/2006
Last updated
07/08/2007
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