MEDICARE: DR. PETER J HELTON DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	20A6853	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	20A6853	OTHER	CA	OSTEOPATHIC MEDICAL BOARD

General Provider Information

NPI Number	:	1295775872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER J HELTON DO

Provider Business Mailing Address
First Line	:	1901 WESTCLIFF DR STE 2
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-5505
Country	:	US
Telephone Number	:	949-646-3376
Fax Number	:	949-646-3303

Provider Business Practice Location Address
First Line	:	1901 WESTCLIFF DR STE 2
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-5505
Country	:	US
Telephone Number	:	949-646-3376
Fax Number	:	949-646-3303

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	11/22/2017

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Directions to “ DR. PETER J HELTON DO” Practice Location

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