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NPI Code Detail

MEDICARE: MARVIN ERIC BELZER MD

MEDICARE: MARVIN ERIC BELZER MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12080A0000XPediatric Adolescent Medicine PhysicianG61403CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
200G14030 G10OTHERCACAL OPTIMA

General Provider Information

NPI Number : 1013009778
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARVIN ERIC BELZER MD
Provider Business Mailing Address
First Line : 5000 W SUNSET BLVD
Second Line : 4TH FLOOR
City : LOS ANGELES
State : CA
Zip : 90027-5861
Country : US
Telephone Number : 323-361-3824
Fax Number : 323-953-8116
Provider Business Practice Location Address
First Line : 4650 W SUNSET BLVD
Second Line : MS# 2
City : LOS ANGELES
State : CA
Zip : 90027-6062
Country : US
Telephone Number : 323-669-2153
Fax Number : 323-913-3691
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2006
Last Update Date : 08/15/2011

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Directions to “ MARVIN ERIC BELZER MD” Practice Location

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