Provider Demographics
NPI:1588789218
Name:BELL, HERMAN B (DO)
Entity type:Individual
Prefix:
First Name:HERMAN
Middle Name:B
Last Name:BELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18300 GRIDLEY RD STE 301
Mailing Address - Street 2:
Mailing Address - City:ARTESIA
Mailing Address - State:CA
Mailing Address - Zip Code:90701-5401
Mailing Address - Country:US
Mailing Address - Phone:562-332-6003
Mailing Address - Fax:562-332-6128
Practice Address - Street 1:1125 N MAGNOLIA AVE
Practice Address - Street 2:STE 115
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-2689
Practice Address - Country:US
Practice Address - Phone:323-921-6309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2019-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A5193207Q00000X
CA2OA5193207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine