Bellack, Gary S
Bellack, Gary S is an individual health care provider with primary practice located at 8631 W 3 Street Ste 225, Los Angeles CA 90048. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Bellack, Gary S can be contacted via phone (310) 659-3938.Contact Information
Primary practice address
8631 W 3 Street Ste 225
Los Angeles CA 90048
Phone: (310) 659-3938
Fax: (310) 659-4231
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck | 207YX0007X | C42325 | California |
Profile Details
| NPI number | 1750442448 |
|---|---|
| LBN Legal business name | Bellack, Gary S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | May 28th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750442448 | NPPES |
| California | MEDICAID | 00C423250 |
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