Provider Demographics
NPI:1669575593
Name:BIELA, BARBARA HELENA (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:HELENA
Last Name:BIELA
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Gender:F
Credentials:MD, PHD
Other - Prefix:
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Mailing Address - Street 1:1362 WALNUT AVE
Mailing Address - Street 2:#101
Mailing Address - City:TUSTIN
Mailing Address - State:CA
Mailing Address - Zip Code:92780-5775
Mailing Address - Country:US
Mailing Address - Phone:714-552-4305
Mailing Address - Fax:310-900-8827
Practice Address - Street 1:3630 E IMPERIAL HWY
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:LYNWOOD
Practice Address - State:CA
Practice Address - Zip Code:90262-2609
Practice Address - Country:US
Practice Address - Phone:310-900-8606
Practice Address - Fax:310-900-8827
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2009-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA81930207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A819300Medicaid
CAI63082Medicare UPIN
CA00A819300Medicaid