MEDICARE: BEATRIZ BELLO

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	103T00000X	Psychologist	PSY31754	CA

General Provider Information

NPI Number	:	1801311790
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATRIZ BELLO

Provider Business Mailing Address
First Line	:	11058 TIARA ST
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-1317
Country	:	US
Telephone Number	:	818-919-8165
Fax Number	:

Provider Business Practice Location Address
First Line	:	11058 TIARA ST
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-1317
Country	:	US
Telephone Number	:	818-919-8165
Fax Number	:

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

Provider Enumeration Date	:	08/11/2017
Last Update Date	:	09/22/2022

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Directions to “ BEATRIZ BELLO ” Practice Location

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