Provider Demographics
NPI:1508063769
Name:MIOTTO, GABRIELLA MARIAFIORE (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:GABRIELLA
Middle Name:MARIAFIORE
Last Name:MIOTTO
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Gender:F
Credentials:MD, MPH
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Mailing Address - Street 1:100 SCHOLZ PLZ
Mailing Address - Street 2:# 111
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-2657
Mailing Address - Country:US
Mailing Address - Phone:949-650-0214
Mailing Address - Fax:
Practice Address - Street 1:455 E COLUMBIA ST
Practice Address - Street 2:# 201
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-1620
Practice Address - Country:US
Practice Address - Phone:562-933-0400
Practice Address - Fax:562-933-0489
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2010-08-11
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Provider Licenses
StateLicense IDTaxonomies
CAG061612207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
E93832Medicare UPIN