Organization
GARY S BELLACK MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY BELLACK MD (OWNER)
(310) 659-3938
Entity
Organization
Contact information
Practice address
8631 W THIRD ST, SUITE 225, LOS ANGELES, CA 90048-5901
(310) 659-3938
Mailing address
8631 W THIRD ST, SUITE 225, LOS ANGELES, CA 90048-5901
(310) 659-3938
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
C42325
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C423250
—
CA
Enumeration date
05/30/2008
Last updated
03/10/2015
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