Healthcare Provider Details

I. General information

NPI: 1750267605
Provider Name (Legal Business Name): RICHARD BELMONT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2025
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8005 RHODES AVE
NORTH HOLLYWOOD CA
91605-1338
US

IV. Provider business mailing address

8005 RHODES AVE
NORTH HOLLYWOOD CA
91605-1338
US

V. Phone/Fax

Practice location:
  • Phone: 323-219-0137
  • Fax:
Mailing address:
  • Phone: 323-219-0137
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code2085R0205X
TaxonomyRadiological Physics Physician
License NumberG36245
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code2471S1302X
TaxonomySonography Radiologic Technologist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code2471V0105X
TaxonomyVascular Sonography Radiologic Technologist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: