Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | DC15864 | CA |
NPI | 1255340618 |
---|---|
Provider Name | Dr. Daniel Belove |
First Address | Newport Beach, CA 92660-2023 |
Second Address | Newport Beach, CA 92660-2023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
T05937 | (02) | CA |