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NPI 1770490856

NPI 1770490856 : BELLEVIA LLC : BUENA PARK, CA

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General NPI Number Information
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    NPI Number           |    1770490856
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    Entity Type          |    Organization 
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    Legal Business Name  |    BELLEVIA LLC 
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Dates
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    Enumeration Date     |    08/25/2026
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    Last Update Date     |    08/25/2026
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Provider Practice Location Address
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    Address Line         |    5812 BURNHAM AVE 
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    City                 |    BUENA PARK
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    State                |    CA
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    Zip                  |    90621-1820
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    Country              |    US
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    Telephone            |    818-593-9554
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15068 ROSECRANS AVE # 284 
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    City                 |    LA MIRADA
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    State                |    CA
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    Zip                  |    90638-4740
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    Country              |    US
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    Telephone            |    714-868-6892
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     OLIVIA  EKREBE 
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    Credential           |    RN
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    Telephone            |    714-868-6892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    374J00000X
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    Taxonomy Name        |    Doula
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    License Number       |    
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    License Number State |    
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