Provider Demographics
NPI:1154633956
Name:BELL HOSPITAL CORPORATION
Entity Type:Organization
Organization Name:BELL HOSPITAL CORPORATION
Other - Org Name:AMERICAN CARDIO CARE MEDICAL ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:OKONKWOAGUOLU
Authorized Official - Suffix:
Authorized Official - Credentials:MD, PHD
Authorized Official - Phone:310-674-1000
Mailing Address - Street 1:PO BOX 425
Mailing Address - Street 2:
Mailing Address - City:LAWNDALE
Mailing Address - State:CA
Mailing Address - Zip Code:90260-0425
Mailing Address - Country:US
Mailing Address - Phone:310-674-1000
Mailing Address - Fax:310-679-4035
Practice Address - Street 1:15603 HAWTHORNE BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:LAWNDALE
Practice Address - State:CA
Practice Address - Zip Code:90260-2639
Practice Address - Country:US
Practice Address - Phone:310-674-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAFNP39403261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty