Healthcare Provider Details

I. General information

NPI: 1982814901
Provider Name (Legal Business Name): SHARON BELL'S RELAXATION PAIN & MUSCLE RE-EDUCATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 07/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

215 S LA CIENEGA BLVD STE 203
BEVERLY HILLS CA
90211-3322
US

IV. Provider business mailing address

215 S LA CIENEGA BLVD STE 203
BEVERLY HILLS CA
90211-3322
US

V. Phone/Fax

Practice location:
  • Phone: 310-360-4823
  • Fax:
Mailing address:
  • Phone: 310-360-4823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number
License Number StateCA

VIII. Authorized Official

Name: MS. SHARON ANN BELL
Title or Position: MANAGER
Credential: LCMT
Phone: 310-360-4823