Provider Demographics
NPI:1073873634
Name:BELLFIELD, EDWARD JOHN (MD, MPH)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:JOHN
Last Name:BELLFIELD
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 W SUNSET BLVD
Mailing Address - Street 2:STE 3A
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90027-6082
Mailing Address - Country:US
Mailing Address - Phone:323-783-5350
Mailing Address - Fax:818-815-6998
Practice Address - Street 1:4700 W SUNSET BLVD
Practice Address - Street 2:STE 3A
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90027-6082
Practice Address - Country:US
Practice Address - Phone:323-783-5350
Practice Address - Fax:818-815-6998
Is Sole Proprietor?:No
Enumeration Date:2012-05-16
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA122699208000000X
IL12506465902080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics