Basic Information
Provider Information
NPI: 1568484756
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BELL
FirstName: JAMES
MiddleName: A.
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1730
Address2:  
City: RANCHO MIRAGE
State: CA
PostalCode: 922701058
CountryCode: US
TelephoneNumber: 7605682684
FaxNumber: 7608372225
Practice Location
Address1: 151 S SUNRISE WAY STE 100
Address2:  
City: PALM SPRINGS
State: CA
PostalCode: 922620129
CountryCode: US
TelephoneNumber: 7605682684
FaxNumber: 7603415832
Other Information
ProviderEnumerationDate: 07/24/2006
LastUpdateDate: 06/04/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/04/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207XX0801XG63505CAN Allopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Trauma
207XX0005XG63505CAN Allopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
207X00000XG63505CAY Allopathic & Osteopathic PhysiciansOrthopaedic Surgery 

No ID Information.


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