Healthcare Provider Details

I. General information

NPI: 1710803069
Provider Name (Legal Business Name): CAMERON BELL
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

905 PICO BLVD
SANTA MONICA CA
90405-1326
US

IV. Provider business mailing address

4701 CLAIR DEL AVE APT 817
LONG BEACH CA
90807-5547
US

V. Phone/Fax

Practice location:
  • Phone: 310-314-6200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberA067750226
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: