Provider Demographics
NPI:1831960061
Name:SIU, BELINDA (RN, BSN)
Entity type:Individual
Prefix:
First Name:BELINDA
Middle Name:
Last Name:SIU
Suffix:
Gender:
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4193 FLAT ROCK DR STE 200-486
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-7111
Mailing Address - Country:US
Mailing Address - Phone:323-688-1868
Mailing Address - Fax:323-688-1869
Practice Address - Street 1:4193 FLAT ROCK RD STE 200-486
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92505-7111
Practice Address - Country:US
Practice Address - Phone:323-688-1868
Practice Address - Fax:323-688-1869
Is Sole Proprietor?:No
Enumeration Date:2024-01-16
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95081102163WI0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy