MEDICARE: DR. AMIR BELSON M.D.

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	208000000X	Pediatrics Physician	A72553	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	A72553	OTHER	CA	MEDICAL BOARD OF CALIFORNIA

General Provider Information

NPI Number	:	1598161382
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMIR BELSON M.D.

Provider Business Mailing Address
First Line	:	1916 FALLEN LEAF LN
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-7206
Country	:	US
Telephone Number	:	408-621-2454
Fax Number	:

Provider Business Practice Location Address
First Line	:	1916 FALLEN LEAF LN
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-7206
Country	:	US
Telephone Number	:	408-621-2454
Fax Number	:

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

Provider Enumeration Date	:	11/06/2014
Last Update Date	:	11/06/2014

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Directions to “ DR. AMIR BELSON M.D.” Practice Location

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