MEDICARE: LIZ NATHAN BELLOWS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter	AU1062	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AU1062	OTHER	CA	AUDIOLOGIST LICENSE

General Provider Information

NPI Number	:	1316918469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIZ NATHAN BELLOWS

Provider Business Mailing Address
First Line	:	74133 EL PASEO STE 6
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-4122
Country	:	US
Telephone Number	:	760-340-6494
Fax Number	:	760-568-1235

Provider Business Practice Location Address
First Line	:	74133 EL PASEO STE 6
Second Line	:
City	:	PALM DESERT
State	:	CA
Zip	:	92260-4122
Country	:	US
Telephone Number	:	760-340-6494
Fax Number	:	760-568-1235

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	05/13/2020

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Directions to “ LIZ NATHAN BELLOWS ” Practice Location

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