Healthcare Provider Details

I. General information

NPI: 1205703568
Provider Name (Legal Business Name): MARK BELL MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 W GALLERIA DR
HENDERSON NV
89011-4800
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: 702-963-7000
  • Fax:
Mailing address:
  • Phone: 310-379-2134
  • Fax: 310-379-2134

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MARK BELL
Title or Position: PRESIDENT
Credential: MD
Phone: 310-321-0143