Provider Demographics
NPI:1891470266
Name:BELL HOLISTIC CENTER INC
Entity Type:Organization
Organization Name:BELL HOLISTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:MIJAIL
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:323-684-9165
Mailing Address - Street 1:4651 GAGE AVE STE E
Mailing Address - Street 2:
Mailing Address - City:BELL
Mailing Address - State:CA
Mailing Address - Zip Code:90201-1371
Mailing Address - Country:US
Mailing Address - Phone:323-684-9165
Mailing Address - Fax:
Practice Address - Street 1:4651 GAGE AVE STE E
Practice Address - Street 2:
Practice Address - City:BELL
Practice Address - State:CA
Practice Address - Zip Code:90201-1371
Practice Address - Country:US
Practice Address - Phone:323-684-9165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty