Healthcare Provider Details

I. General information

NPI: 1710643051
Provider Name (Legal Business Name): BELLA HEALTH AND WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/11/2021
Last Update Date: 07/10/2023
Certification Date: 07/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 VAN NESS AVE STE 304
SAN FRANCISCO CA
94109-3020
US

IV. Provider business mailing address

2000 VAN NESS AVE STE 304
SAN FRANCISCO CA
94109-3020
US

V. Phone/Fax

Practice location:
  • Phone: 415-860-7899
  • Fax:
Mailing address:
  • Phone: 415-775-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DOLORES JOSEPHINE MEEHAN
Title or Position: EXECUTIVE DIRECTOR
Credential: NP
Phone: 415-775-1500