Dr. Timothy Kelley
Otolaryngology/Facial Plastic Surgery
520 Superior Ave Ste 315
Newport Beach
, California 92663-3667
Dr. Timothy Kelley
Otolaryngology/Facial Plastic Surgery
520 Superior Ave Ste 315
Newport Beach
, California 92663-3667
(949) 645-3222
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About
Features
Specialties
- Otolaryngology/Facial Plastic Surgery
Languages spoken
- English
Location
First Address
- Dr. Timothy Kelley
- Po Box 2945
- Newport Beach, CA
- Zip : 92659-0439
- Fax : (949) 645-3222
- Phone : (949) 645-3223
Second Address
- Dr. Timothy Kelley
- 520 Superior Ave Ste 315
- Newport Beach, CA
- Zip : 92663-3667
- Fax : (949) 645-3222
- Phone : (949) 645-3223
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | G78999 | CA |
National Provider Identifier
| NPI | 1871528802 |
|---|---|
| Provider Name | Dr. Timothy Kelley |
| First Address | Newport Beach, CA 92659-0439 |
| Second Address | Newport Beach, CA 92663-3667 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/07/2006 |
| Last Update Date | 31/08/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00G789990 | (05) | CA |
| F19116 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.