Provider Demographics
NPI:1033465810
Name:KYLE A. BELEK, M.D., P.C.
Entity Type:Organization
Organization Name:KYLE A. BELEK, M.D., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:ASHER
Authorized Official - Last Name:BELEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-205-9677
Mailing Address - Street 1:3318 ELM ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3001
Mailing Address - Country:US
Mailing Address - Phone:510-654-9222
Mailing Address - Fax:510-654-2349
Practice Address - Street 1:3318 ELM ST
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3001
Practice Address - Country:US
Practice Address - Phone:510-654-9222
Practice Address - Fax:510-654-2349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-30
Last Update Date:2012-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA997862086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty