Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | A35305 | CA |
Y | 2086S0102X | Surgical Critical Care | A35305 | CA |
NPI | 1346443272 |
---|---|
Provider Name | Dr. Howard Belzberg |
First Address | Los Angeles, CA 90031-0309 |
Second Address | Los Angeles, CA 90033-5313 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/06/2007 |
Last Update Date | 09/04/2015 |