MEDICARE: BELLA CATALAN

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	104100000X	Social Worker

Other Identifiers

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

General Provider Information

NPI Number	:	1174928956
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELLA CATALAN

Provider Business Mailing Address
First Line	:	1842 OAK BLUFFS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	49032
Country	:	US
Telephone Number	:	808-258-9543
Fax Number	:

Provider Business Practice Location Address
First Line	:	1842 OAK BLUFFS AVE
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89032
Country	:	US
Telephone Number	:	808-258-9543
Fax Number	:

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

Provider Enumeration Date	:	10/23/2014
Last Update Date	:	10/23/2014

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Directions to “ BELLA CATALAN ” Practice Location

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