Provider Demographics
NPI:1982814901
Name:SHARON BELL'S RELAXATION PAIN & MUSCLE RE-EDUCATION CENTER
Entity Type:Organization
Organization Name:SHARON BELL'S RELAXATION PAIN & MUSCLE RE-EDUCATION CENTER
Other - Org Name:BELL'S PAIN CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:LCMT
Authorized Official - Phone:310-360-4823
Mailing Address - Street 1:215 S LA CIENEGA BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3322
Mailing Address - Country:US
Mailing Address - Phone:310-360-4823
Mailing Address - Fax:
Practice Address - Street 1:215 S LA CIENEGA BLVD STE 203
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3322
Practice Address - Country:US
Practice Address - Phone:310-360-4823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA172M00000X, 247200000X, 302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes302R00000XManaged Care OrganizationsHealth Maintenance OrganizationGroup - Multi-Specialty
No172M00000XOther Service ProvidersMechanotherapistGroup - Multi-Specialty
No247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Multi-Specialty