Organization
IRA BELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IRA BELL M.D. (OWNER)
(949) 770-8115
Entity
Organization
Contact information
Practice address
23832 ROCKFIELD BLVD STE 210, LAKE FOREST, CA 92630-2876
(949) 770-8115
(949) 770-2017
Mailing address
23832 ROCKFIELD BLVD STE 210, LAKE FOREST, CA 92630-2876
(949) 770-8115
(949) 770-2017
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
G47339
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W11251
MEDICARE GROUP ID#
CA
Enumeration date
12/13/2007
Last updated
10/06/2020
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