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General NPI Number Information
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NPI Number | 1184069148
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Entity Type | Organization
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Legal Business Name | SUNITA MOOLA MD INC
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Dates
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Enumeration Date | 05/03/2013
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Last Update Date | 02/20/2025
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Provider Practice Location Address
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Address Line | 11100 WARNER AVE STE 150B
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-7510
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Country | US
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Telephone | 714-456-6600
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Fax |
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Provider Business Mailing Address
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Address Line | 18 CALAVERA
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City | IRVINE
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State | CA
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Zip | 92606-8923
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Country | US
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Telephone | 949-910-1064
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. SUNITA MOOLA
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Credential | M.D.,
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Telephone | 949-910-1064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A106895
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License Number State | CA
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