Provider Demographics
NPI:1366602351
Name:MAGALLANES, BELINDA M (MD)
Entity type:Individual
Prefix:DR
First Name:BELINDA
Middle Name:M
Last Name:MAGALLANES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1798 BAY RD STE A
Mailing Address - Street 2:
Mailing Address - City:EAST PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-5312
Mailing Address - Country:US
Mailing Address - Phone:650-330-7400
Mailing Address - Fax:
Practice Address - Street 1:1798 BAY RD STE A
Practice Address - Street 2:
Practice Address - City:EAST PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-5312
Practice Address - Country:US
Practice Address - Phone:650-330-7400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA104355207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine