Healthcare Provider Details

I. General information

NPI: 1366313355
Provider Name (Legal Business Name): BELINDA COPELAND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8835 VANS ST
PARAMOUNT CA
90723-4656
US

IV. Provider business mailing address

6252 CHEROKEE DR
WESTMINSTER CA
92683-2004
US

V. Phone/Fax

Practice location:
  • Phone: 562-633-5111
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number115301
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: