Healthcare Provider Details

I. General information

NPI: 1952241895
Provider Name (Legal Business Name): ABUBAKAR PAUL BELLO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 CHERRY AVE APT 204
LONG BEACH CA
90802-2078
US

IV. Provider business mailing address

604 CHERRY AVE APT 204
LONG BEACH CA
90802-2078
US

V. Phone/Fax

Practice location:
  • Phone: 818-321-5095
  • Fax:
Mailing address:
  • Phone: 818-321-5095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: