GARY S BELLACK MD INC (NPI# 1588822100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588822100 |
| Entity Type | Organization |
| Organization Name | GARY S BELLACK MD INC |
| Practice Address |
8631 W Third St Suite 225 Los Angeles CA 90048-5901 |
| Practice Telephone | 3106593938 |
| Mailing Telephone | 3106593938 |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2015-03-10 |
| Authorized Official Name | GARY BELLACK (OWNER) |
| Authorized Official Telephone | 3106593938 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | C42325 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00C423250 | 05 |
| Street Address |
8631 W THIRD ST SUITE 225 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90048-5901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992077614 | Joel Zisk, M.d., Incorporated | Surgery | 8631 W Third St, Suite 710e, Los Angeles, CA 90048 | 2012-01-27 |
| 1760794663 | Joel D Feinstein Md Inc | Internal Medicine | 8631 W Third St, Suite 825e, Los Angeles, CA 90048-5901 | 2010-07-08 |
| 1386870921 | Hopp Md Inc | Otolaryngology | 8631 W Third St, Suite 440, Los Angeles, CA 90048-5901 | 2009-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609473420 | Alden Advanced Surgicenter LLC | Clinic/Center | 8741 Alden Drive, Suite B, Los Angeles, CA 90048 | 2020-10-05 |
| 1760090062 | New Dawn Tms Psychiatry | Clinic/Center | 640 S San Vincente Blvd, Ste. 210, Los Angeles, CA 90048 | 2020-07-22 |
| 1114547312 | Savannah Marie Gonzales | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 3636, Los Angeles, CA 90048 | 2020-04-17 |
| 1861048613 | Sam Dawkins | Internal Medicine | Suite 415e, 8631 West Third Street, Los Angeles, CA 90048 | 2019-08-16 |
| 1295202638 | Caleb Rogers Penn | Anesthesiology | Cedars-sinai Department of Anesthesiology, 8700 Beverly Blvd, Los Angeles, CA 90048 | 2018-10-24 |
| 1437641727 | Medical Imaging Center of Southern California-beverly Hills, Inc | Radiology | 8727 Beverly Blvd, Los Angeles, CA 90048 | 2018-06-01 |
| 1689164121 | Maulin Shah | Student in an Organized Health Care Education/Training Program | 8700 Beverly Blvd Suite 5512, Los Angeles, CA 90048 | 2018-05-10 |
| 1013423631 | Abdul Ali Qaderi | Anesthesiology | 8700 Beverly Blvd Suite 4209, Los Angeles, CA 90048 | 2017-12-19 |
| 1619483559 | Sakeenah Hakim | Social Worker | 292 S. La Cienega Blvd, Suite 102, Los Angeles, CA 90048 | 2017-12-14 |
| 1851805048 | West Hollywood Medical Group Inc | General Practice | 8733 Beverly Blvd Suite #203, West Hollywood, CA 90048 | 2017-11-27 |
| Find all providers in zip 90048 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598280901 | Kian Karimi Md Inc | Otolaryngology | 11645 Wilshire Blvd Fl 6, Los Angeles, CA 90025-6807 | 2017-08-07 |
| 1770906687 | David Carl Marcusen | Otolaryngology | 660 N Gramercy Pl, Los Angeles, CA 90004-1702 | 2014-01-28 |
| 1124451505 | Karam Badran | Otolaryngology | 10833 Le Conte Ave Chs 62-132, Department of Head and Neck Surgery, Los Angeles, CA 90095-1624 | 2013-08-20 |
| 1528490554 | Los Angeles Ent Surgical Associates | Otolaryngology | 1700 E. Cesar Chavez Ave, Suite 2500, Los Angeles, CA 90033 | 2013-08-01 |
| 1598011397 | Mehdi Sina | Otolaryngology | 1401 S Bentley Ave Apt 203, Los Angeles, CA 90025-8031 | 2012-07-30 |
| 1134486681 | Kevin Jae Choi | Otolaryngology | 966 S Western Ave Ste 101, Los Angeles, CA 90006-1014 | 2012-04-20 |
| 1649577156 | Hanwon H Cho | Otolaryngology | 11706 Montana Ave Apt 210, Los Angeles, CA 90049-6724 | 2011-02-17 |
| 1730359258 | Kimanh Duong Nguyen | Otolaryngology | 600 South San Vicente Blvd, Los Angeles, CA 90048 | 2008-03-11 |
| 1669657748 | Jennifer Lynn Long | Otolaryngology | 200 Medical Plaza Suite 550, Los Angeles, CA 90095-6975 | 2008-01-08 |
| 1194927822 | Jocelyn Carol Stamat | Otolaryngology | 11661 San Vicente Blvd, Suite 101, Los Angeles, CA 90049-5103 | 2007-06-04 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90048 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.