MEDICARE: MIA BELLA PEDIATRICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	A74237	NE

General Provider Information

NPI Number	:	1841492840
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIA BELLA PEDIATRICS

Provider Business Mailing Address
First Line	:	26161 LA PAZ RD STE 115
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-5317
Country	:	US
Telephone Number	:	949-206-0001
Fax Number	:	949-206-0011

Provider Business Practice Location Address
First Line	:	26161 LA PAZ RD STE 115
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-5317
Country	:	US
Telephone Number	:	949-206-0001
Fax Number	:	949-206-0011

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SUZANNE LYNN MCNULTY
Credential	:	M.D.
Telephone Number	:	949-206-0001

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1023971645 — VIOLETA RECALDE MD INC
Practice Location Address:

26161 LA PAZ RD STE 105
MISSION VIEJO, CA
92691-5317

Practice Phone: 949-676-7521
Practice Fax:

1992892293 — DR. SUZANNE LYNN MCNULTY M.D.
Practice Location Address:

26161 LA PAZ RD , SUITE 115
MISSION VIEJO, CA
92691-5317

Practice Phone: 949-206-0001
Practice Fax: 949-206-0011

1861594756 — HAROLD B MANGAR DC
Practice Location Address:

5317 MISSION STREET
SAN FRANCISCO, CA
94112

Practice Phone: 415-585-1330
Practice Fax:

1164419990 — BUILDING BLOCKS PEDIATRIC HOME HEALTH SERVICES
Practice Location Address:

6 JOURNEY , SUITES 135
ALISO VIEJO, CA
92656-5317

Practice Phone: 813-890-8004
Practice Fax: 813-290-9691

1790728335 — DR. MARIA ELENA ABELLO D.M.D.
Practice Location Address:

6 JOURNEY , SUITE 150
ALISO VIEJO, CA
92656-5317

Practice Phone: 949-448-0900
Practice Fax: 949-362-3904

1821885658 — KATARINA LUNDE
Practice Location Address:

22961 VIA CEREZA
MISSION VIEJO, CA
92691-2585

Practice Phone: 951-440-8120
Practice Fax:

Directions to “MIA BELLA PEDIATRICS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.