Provider Demographics
NPI:1477829638
Name:BELLO, DINO C
Entity type:Individual
Prefix:
First Name:DINO
Middle Name:C
Last Name:BELLO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2140 W OLYMPIC BLVD
Mailing Address - Street 2:302
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90006-2207
Mailing Address - Country:US
Mailing Address - Phone:213-487-7792
Mailing Address - Fax:213-487-7823
Practice Address - Street 1:2140 W OLYMPIC BLVD
Practice Address - Street 2:302
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90006-2207
Practice Address - Country:US
Practice Address - Phone:213-487-7792
Practice Address - Fax:213-487-7823
Is Sole Proprietor?:No
Enumeration Date:2012-03-31
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032666225100000X
CAPT 39804225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist