Petty, Barbara Irene
Petty, Barbara Irene is an sole proprietor health care provider with primary practice located at 27800 Medical Center Rd Suite 350, Mission Viejo CA 92691-6410. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Petty, Barbara Irene can be contacted via phone (949) 364-2510.Contact Information
Primary practice address
27800 Medical Center Rd Suite 350
Mission Viejo CA 92691-6410
Phone: (949) 364-2510
Fax: (949) 364-6515
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A037470 | California |
Profile Details
| NPI number | 1598714255 |
|---|---|
| LBN Legal business name | Petty, Barbara Irene |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598714255 | NPPES |
| California | Other | A037470 | MEDICAL LICENSE NUMBER |
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