Provider Demographics
NPI:1710643051
Name:BELLA HEALTH AND WELLNESS INC
Entity Type:Organization
Organization Name:BELLA HEALTH AND WELLNESS INC
Other - Org Name:BELLA PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DOLORES
Authorized Official - Middle Name:JOSEPHINE
Authorized Official - Last Name:MEEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:415-775-1500
Mailing Address - Street 1:2000 VAN NESS AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94109-3020
Mailing Address - Country:US
Mailing Address - Phone:415-775-1500
Mailing Address - Fax:
Practice Address - Street 1:2000 VAN NESS AVE STE 304
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-3020
Practice Address - Country:US
Practice Address - Phone:415-860-7899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-11
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty