MEDICARE: RICHARD L BELL D.P.M.

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
1	213ES0131X	Foot Surgery Podiatrist	E1136	CA

General Provider Information

NPI Number	:	1164401782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICHARD L BELL D.P.M.

Provider Business Mailing Address
First Line	:	1760 TERMINO AVE STE 309
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-2169
Country	:	US
Telephone Number	:	562-986-6886
Fax Number	:	562-986-6885

Provider Business Practice Location Address
First Line	:	1760 TERMINO AVE
Second Line	:	#309
City	:	LONG BEACH
State	:	CA
Zip	:	90804-2105
Country	:	US
Telephone Number	:	562-986-6886
Fax Number	:	562-986-6885

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2006
Last Update Date	:	01/07/2014

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