1710529805 NPI number — WENDY BELL

Table of content: MR. WILFREDO CHICAS TOVAR ENGINEER ELECTRONICS (NPI 1427754993)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1710529805 NPI number — WENDY BELL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BELL
Provider First Name:
WENDY
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1710529805
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/10/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
800 S VICTORIA AVE, L4615
Provider Second Line Business Mailing Address:
VCHCA - PHYSICIAN SERVICES
Provider Business Mailing Address City Name:
VENTURA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93009-0003
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
805-677-5181
Provider Business Mailing Address Fax Number:
805-677-5304

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
300 HILMONT AVE BLDG 340 STE 401
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VENTURA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93003-9300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-648-9830
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/10/2019

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163W00000X , with the licence number:  721857 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 363LG0600X , with the licence number: 95013308 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com