Healthcare Provider Details

I. General information

NPI: 1922138528
Provider Name (Legal Business Name): SONIA DENISE BELL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 02/16/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 FRONT ST
SAN FRANCISCO CA
94111-1911
US

IV. Provider business mailing address

301 EXECUTIVE PARK BLVD APT 503
SAN FRANCISCO CA
94134-3389
US

V. Phone/Fax

Practice location:
  • Phone: 415-363-0466
  • Fax: 415-859-9265
Mailing address:
  • Phone: 415-724-2026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License NumberA85402
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: