Healthcare Provider Details

I. General information

NPI: 1144142431
Provider Name (Legal Business Name): BELLEZA LATINA SURGERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11026 MAIN ST
EL MONTE CA
91731-2617
US

IV. Provider business mailing address

11026 MAIN ST
EL MONTE CA
91731-2617
US

V. Phone/Fax

Practice location:
  • Phone: 626-872-1754
  • Fax: 626-270-4157
Mailing address:
  • Phone: 626-872-1754
  • Fax: 626-270-4157

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MARIA DEL CARMEN ZERMENO
Title or Position: OFFICE MANAGER
Credential:
Phone: 626-872-1754