Healthcare Provider Details

I. General information

NPI: 1750245783
Provider Name (Legal Business Name): SAN PEDRO HOSPITALIST MEDICAL GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 W 7TH ST STE 600
SAN PEDRO CA
90732-3505
US

IV. Provider business mailing address

898 N PACIFIC COAST HWY STE 600
EL SEGUNDO CA
90245-2747
US

V. Phone/Fax

Practice location:
  • Phone: 310-832-3311
  • Fax:
Mailing address:
  • Phone: 310-321-0413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MARK BELL
Title or Position: PRESIDENT
Credential: MD
Phone: 424-241-1546