Provider Demographics
NPI:1629960281
Name:AT BELLA SURGERY INC
Entity type:Organization
Organization Name:AT BELLA SURGERY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:GITTERMANN
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:562-368-8358
Mailing Address - Street 1:17931 EUCLID ST
Mailing Address - Street 2:
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-5409
Mailing Address - Country:US
Mailing Address - Phone:714-966-2888
Mailing Address - Fax:714-966-2999
Practice Address - Street 1:17931 EUCLID ST
Practice Address - Street 2:
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-5409
Practice Address - Country:US
Practice Address - Phone:714-966-2888
Practice Address - Fax:714-966-2999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical