Provider Demographics
NPI:1447769971
Name:BELIN, CAROLINE LEE (NP-C)
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:LEE
Last Name:BELIN
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 S LA CIENEGA BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3313
Mailing Address - Country:US
Mailing Address - Phone:310-855-9909
Mailing Address - Fax:
Practice Address - Street 1:240 S LA CIENEGA BLVD STE 101
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3313
Practice Address - Country:US
Practice Address - Phone:310-855-9909
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-27
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95007278363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner