DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEVIN TATE BELASCO, D.O.

Active

DR. KEVIN TATE BELASCO, D.O. is a Dermatology healthcare provider located in NEWPORT BEACH, California. NPI 1578736724 is currently active in the NPPES registry. Verify at CMS.

Dermatology · NEWPORT BEACH, CA

Registration Details

NPI Number
1578736724
Provider Type
Individual
Gender
Male
NPI Issued
Apr 9, 2008 (18.379415244369 yrs)
Last Updated
Mar 7, 2023
Licenses
51343021 (WI)
20A12076 (CA)
DO1741 (NV)

Practice Information

Address
1501 SUPERIOR AVE STE 115
NEWPORT BEACH, CA, 926633606
Browse CA providers · Browse ZIP 92663
Phone
9496407546
Fax
9496407547
Primary Specialty
Dermatology
207N00000X
Additional Specialty
Dermatology
Additional Specialty
Dermatology

Other Dermatology Providers in NEWPORT BEACH, CA

Name Credential NPI
NANCY LEE SILVERBERG MD 1083602023
SUSAN COX MD 1811985724
HUI-KYUNG TINA KIM MD 1720076631
MATTHEW MORTENSEN GOODMAN M.D 1679556633
SAMUEL R PETERSON MD 1073571295
DR. NAVID NAMI D.O. 1710936646
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.