Provider Demographics
NPI:1609116755
Name:BELLIN, JOHN V
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:V
Last Name:BELLIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JOHN
Other - Middle Name:V
Other - Last Name:BELLIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BC-HIS
Mailing Address - Street 1:127 N MADISON AVE
Mailing Address - Street 2:#106
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1712
Mailing Address - Country:US
Mailing Address - Phone:626-462-0891
Mailing Address - Fax:626-744-9075
Practice Address - Street 1:127 N MADISON AVE
Practice Address - Street 2:#106
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1712
Practice Address - Country:US
Practice Address - Phone:626-462-0891
Practice Address - Fax:626-744-9075
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3687237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist