Organization
BELLA PELLE MEDICAL SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARRY E LOSASSO MD (OWNER)
(760) 634-4090
Entity
Organization
Contact information
Practice address
324 ENCINITAS BLVD, ENCINITAS, CA 92024-3723
(760) 634-4090
(760) 634-4094
Mailing address
324 ENCINITAS BLVD, ENCINITAS, CA 92024-3723
(760) 634-4090
(760) 634-4094
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G41471
CA
Other
Enumeration date
11/10/2010
Last updated
11/10/2010
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