| Osagie Bello Md Inc. | |
|
205 W Legion Rd Ste 1 Brawley CA 92227-7780 | |
| (760) 351-3737 | |
| Not Available |
| Full Name | Osagie Bello Md Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 205 W Legion Rd Ste 1, Brawley, California |
| Authorized Official Name and Position | Osagie Bello (OWNER) |
| Authorized Official Contact | 2022714198 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osagie Bello Md Inc. Po Box 847411 Los Angeles CA 90084-7411 Ph: (602) 441-9520 | Osagie Bello Md Inc. 205 W Legion Rd Ste 1 Brawley CA 92227-7780 Ph: (760) 351-3737 |
| NPI Number | 1619237427 |
|---|---|
| Provider Enumeration Date | 05/25/2012 |
| Last Update Date | 08/08/2018 |
| Medicare PECOS PAC ID | 8729244843 |
|---|---|
| Medicare Enrollment ID | O20120718000169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619237427 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | A115182 (California) | Primary |
| Provider Name | Osagie Bello |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1164726378 PECOS PAC ID: 2668641598 Enrollment ID: I20110811000174 |
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