Healthcare Provider Details

I. General information

NPI: 1609116755
Provider Name (Legal Business Name): JOHN V BELLIN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JOHN V BELLIN BC-HIS

II. Dates (important events)

Enumeration Date: 02/27/2013
Last Update Date: 02/27/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

127 N MADISON AVE #106
PASADENA CA
91101-1712
US

IV. Provider business mailing address

127 N MADISON AVE #106
PASADENA CA
91101-1712
US

V. Phone/Fax

Practice location:
  • Phone: 626-462-0891
  • Fax: 626-744-9075
Mailing address:
  • Phone: 626-462-0891
  • Fax: 626-744-9075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA3687
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: