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General NPI Number Information
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NPI Number | 1164726378
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Entity Type | Individual
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Provider Name | OSAGIE BELLO M.D
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Gender | Male
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Dates
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Enumeration Date | 01/03/2011
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 205 W LEGION RD
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City | BRAWLEY
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State | CA
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Zip | 92227
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Country | US
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Telephone | 760-351-3737
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 847411
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City | LOS ANGELES
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State | CA
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Zip | 90084-7411
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | A115182
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 279503
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License Number State | NY
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