Provider Demographics
NPI:1184813958
Name:BELL, ANGELICA (NP)
Entity type:Individual
Prefix:
First Name:ANGELICA
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 S BASCOM AVE STE 335
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-2603
Mailing Address - Country:US
Mailing Address - Phone:408-402-1798
Mailing Address - Fax:
Practice Address - Street 1:750 S BASCOM AVE STE 335
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2639
Practice Address - Country:US
Practice Address - Phone:408-885-4631
Practice Address - Fax:408-885-3330
Is Sole Proprietor?:No
Enumeration Date:2007-10-17
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17551363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology