Healthcare Provider Details

I. General information

NPI: 1558224592
Provider Name (Legal Business Name): MS. MA ALYSSA MAYE P. BELLO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 12/06/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 C ST STE 202
UPLAND CA
91786-6041
US

IV. Provider business mailing address

99 C ST STE 202
UPLAND CA
91786-6041
US

V. Phone/Fax

Practice location:
  • Phone: 919-468-2033
  • Fax: 909-600-7188
Mailing address:
  • Phone: 919-468-2033
  • Fax: 909-600-7188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: