Individual
JON P. BELLEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 N ROSE AVE, OXNARD, CA 93030-3722
(805) 988-2818
Mailing address
3116 W MARCH LN, SUITE 200, STOCKTON, CA 95219-2369
(209) 473-6555
(209) 473-6544
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G57679
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G576790
—
CA
01
—
050083025
RAILROAD MEDICARE
CA
Enumeration date
01/17/2007
Last updated
07/29/2014
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