Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | DC17009 | CA |
NPI | 1548443252 |
---|---|
Provider Name | Richard A Belli |
First Address | Sacramento, CA 95825-1387 |
Second Address | Sacramento, CA 95825-1387 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/12/2007 |
Last Update Date | 09/08/2011 |