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MIA BELLA PEDIATRICS NPI 1841492840


NPI Information

NPI: 1841492840
Provider Name: MIA BELLA PEDIATRICS
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D2036143

Address:
26161 LA PAZ RD STE 115
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 206-0001
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MIA BELLA PEDIATRICS is a pediatrics in Mission Viejo, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. MIA BELLA PEDIATRICS NPI is 1841492840. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

26161 LA PAZ RD STE 115
MISSION VIEJO, CA
ZIP 92691-317
Phone: (949) 206-0001
Fax: (949) 206-0011

The provider's authorized official is Suzanne Lynn Mcnulty .
The authorized official title is President and has the following contact phone number (949) 206-0001.

The CLIA number assigned to this NPI record is 05D2036143 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsA74237NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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