Provider Demographics
NPI:1093111601
Name:SHARON BELL'S MASSAGE & PAIN CENTER
Entity Type:Organization
Organization Name:SHARON BELL'S MASSAGE & PAIN CENTER
Other - Org Name:SHARON'S RELAXATION MASSAGE & PAIN RELIEF CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-373-1952
Mailing Address - Street 1:8072 CALIFORNIA CITY BLVD
Mailing Address - Street 2:
Mailing Address - City:CALIFORNIA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:93505-2661
Mailing Address - Country:US
Mailing Address - Phone:760-373-1952
Mailing Address - Fax:
Practice Address - Street 1:8072 CALIFORNIA CITY BLVD
Practice Address - Street 2:
Practice Address - City:CALIFORNIA CITY
Practice Address - State:CA
Practice Address - Zip Code:93505-2661
Practice Address - Country:US
Practice Address - Phone:760-373-1952
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-08
Last Update Date:2014-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA261QP3300X, 261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation