Healthcare Provider Details

I. General information

NPI: 1699604835
Provider Name (Legal Business Name): KYLE BELDING
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 W HARRISON AVE
VENTURA CA
93001-1886
US

IV. Provider business mailing address

4751 LOMA VISTA RD
VENTURA CA
93003-2001
US

V. Phone/Fax

Practice location:
  • Phone: 805-653-2596
  • Fax:
Mailing address:
  • Phone: 805-653-2596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: