Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | G42093 | CA |
NPI | 1114933371 |
---|---|
Provider Name | Dr. Robert R. Beltran |
First Address | Laguna Hills, CA 92653-1548 |
Second Address | Irvine, CA 92606-8226 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2006 |
Last Update Date | 19/07/2012 |