Healthcare Provider Details

I. General information

NPI: 1881894129
Provider Name (Legal Business Name): BELLA G ZEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 07/24/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3017 DONA EMILIA DR
STUDIO CITY CA
91604-4304
US

IV. Provider business mailing address

3017 DONA EMILIA DR
STUDIO CITY CA
91604-4304
US

V. Phone/Fax

Practice location:
  • Phone: 323-656-4986
  • Fax: 323-654-2744
Mailing address:
  • Phone: 323-656-4986
  • Fax: 323-654-2744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberA39148
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: