Provider Demographics
NPI:1689646572
Name:DE LA ROSA, JOSE BELLO (MD)
Entity Type:Individual
Prefix:DR
First Name:JOSE
Middle Name:BELLO
Last Name:DE LA ROSA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1491 COUNTRY VISTAS LN
Mailing Address - Street 2:
Mailing Address - City:BONITA
Mailing Address - State:CA
Mailing Address - Zip Code:91902-4276
Mailing Address - Country:US
Mailing Address - Phone:619-888-1530
Mailing Address - Fax:619-216-2765
Practice Address - Street 1:34800 BOB WILSON DR
Practice Address - Street 2:NMCSD
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-1098
Practice Address - Country:US
Practice Address - Phone:619-888-1530
Practice Address - Fax:619-216-2765
Is Sole Proprietor?:No
Enumeration Date:2006-02-03
Last Update Date:2008-09-18
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Provider Licenses
StateLicense IDTaxonomies
CAA049267207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine