Individual
DR. GARY S BELLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8631 W 3 STREET, STE 225, LOS ANGELES, CA 90048
(310) 659-3938
(310) 659-4231
Mailing address
8631 W 3RD STREET, #225, LOS ANGELES, CA 90048
(310) 659-3938
(310) 659-4231
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
C42325
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C423250
—
CA
Enumeration date
12/13/2006
Last updated
05/28/2008
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