Healthcare Provider Details

I. General information

NPI: 1669598751
Provider Name (Legal Business Name): ROBERT ALAN BELTRAN M.D., M.B.A.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 TECHNOLOGY DR
IRVINE CA
92618-2302
US

IV. Provider business mailing address

3572 HOWARD AVE APT 2
LOS ALAMITOS CA
90720-3645
US

V. Phone/Fax

Practice location:
  • Phone: 949-923-3200
  • Fax: 949-923-3499
Mailing address:
  • Phone: 626-255-7399
  • Fax: 562-430-1442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberG34383
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: