Healthcare Provider Details

I. General information

NPI: 1083857908
Provider Name (Legal Business Name): LANCE H. BETSON, D.O. A MEDICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2009
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 HOSPITAL RD STE 611
NEWPORT BEACH CA
92663-3508
US

IV. Provider business mailing address

351 HOSPITAL RD STE 611
NEWPORT BEACH CA
92663-3508
US

V. Phone/Fax

Practice location:
  • Phone: 949-548-3441
  • Fax: 949-548-2074
Mailing address:
  • Phone: 949-548-3441
  • Fax: 949-548-2074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number20A7341
License Number StateCA

VIII. Authorized Official

Name: DR. LANCE H BETSON
Title or Position: PHYSICIAN
Credential: D.O.
Phone: 949-548-3441