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Individual

BETH MUNDELL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1901 NEWPORT BLVD, SUITE 175, COSTA MESA, CA 92627-2278
(949) 764-6240
(949) 642-7703
Mailing address
24642 MOSQUERO LN, MISSION VIEJO, CA 92691-4913
(949) 764-6240
(949) 642-7703

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
717253

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
WNT717253A
PPIN
CA
Enumeration date
06/13/2006
Last updated
07/08/2007
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