Provider Demographics
NPI:1518319086
Name:BELLO GERMINO, DANIELA ANDREA (MD)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:ANDREA
Last Name:BELLO GERMINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DANIELA
Other - Middle Name:ANDREA DEL VALLE
Other - Last Name:BELLO GERMINO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:11883 AMETHYST RD STE 203
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-9224
Mailing Address - Country:US
Mailing Address - Phone:760-241-8000
Mailing Address - Fax:
Practice Address - Street 1:11883 AMETHYST RD STE 203
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-9224
Practice Address - Country:US
Practice Address - Phone:760-381-8075
Practice Address - Fax:760-381-8043
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-08
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA175157208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics