Wells, Carla Suzanne

Wells, Carla Suzanne is an individual health care provider with primary practice located at 4050 Barranca Pkwy Ste 200 , Irvine CA 92604-1723. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Wells, Carla Suzanne can be contacted via phone (949) 559-1911.

Contact Information

Primary practice address
4050 Barranca Pkwy Ste 200 Irvine CA 92604-1723
Phone: (949) 559-1911
Fax: (949) 559-4071
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X G80278 California
Other Service Providers / Specialist 174400000X G80278 California

Profile Details

NPI number 1184787046
LBN Legal business name Wells, Carla Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Jun 28th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184787046 NPPES
California MEDICAID 00G802780

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