Provider Demographics
NPI:1053467274
Name:TROMPETA, BELLAFLOR VILLANUEVA (MD)
Entity type:Individual
Prefix:DR
First Name:BELLAFLOR
Middle Name:VILLANUEVA
Last Name:TROMPETA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18433 ROSCOE BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91325-4127
Mailing Address - Country:US
Mailing Address - Phone:818-993-9555
Mailing Address - Fax:818-993-9558
Practice Address - Street 1:18433 ROSCOE BLVD STE 104
Practice Address - Street 2:
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91325-4127
Practice Address - Country:US
Practice Address - Phone:818-993-9555
Practice Address - Fax:818-993-9558
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA26147208000000X, 2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A261470Medicaid