| Adesuwa B Bello, DDS | |
|
3177 Ocean View Blvd, San Diego, CA 92113-1432 | |
| (619) 662-4100 | |
| (619) 232-5922 |
| Full Name | Adesuwa B Bello |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 3177 Ocean View Blvd, San Diego, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144557281 | NPI | - | NPPES |
| 04507282 | Medicaid | NY | |
| 057126 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 58654 (California) | Secondary |
| 122300000X | Dentist | 057126 (New York) | Primary |
| Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
| Mailing Address | Practice Location Address |
|---|---|
| Adesuwa B Bello, DDS 1601 Precision Park Ln, San Diego, CA 92173-1345 Ph: (619) 662-4100 | Adesuwa B Bello, DDS 3177 Ocean View Blvd, San Diego, CA 92113-1432 Ph: (619) 662-4100 |
Dr. Lam Chittaphong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9888 Carroll Centre Rd, Suite #120, San Diego, CA 92126 Phone: 858-722-6332 Fax: 888-514-1239 |
Malieka Trinee Johnson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4784 Muir Ave, San Diego, CA 92107 Phone: 619-518-9000 |
Dr. Keri Eileen Silva, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 814 Morena Blvd Ste 202, San Diego, CA 92110 Phone: 619-294-3273 Fax: 619-294-7170 |
Jonathan Kim, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9888 Carmel Mountain Rd Ste B, San Diego, CA 92129 Phone: 858-780-8870 |
Ghassan Adnan Jabbar Jayyar, DMD Dentist Medicare: Medicare Enrolled Practice Location: 286 Euclid Ave Ste 201, San Diego, CA 92114 Phone: 619-263-6683 |
Dr. Hemamalini Srinivasan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4921a Clairemont Dr, San Diego, CA 92117 Phone: 858-272-7300 Fax: 858-272-3135 |
Dr. Stanley Lawrence Baquial, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3737 Moraga Ave, Ste B309, San Diego, CA 92117 Phone: 858-581-3641 Fax: 858-581-6135 |