Provider Demographics
NPI:1295775872
Name:HELTON, PETER J (DO)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:J
Last Name:HELTON
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1901 WESTCLIFF DR STE 2
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-5505
Mailing Address - Country:US
Mailing Address - Phone:949-646-3376
Mailing Address - Fax:949-646-3303
Practice Address - Street 1:1901 WESTCLIFF DR STE 2
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-5505
Practice Address - Country:US
Practice Address - Phone:949-646-3376
Practice Address - Fax:949-646-3303
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-08
Last Update Date:2017-11-22
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Provider Licenses
StateLicense IDTaxonomies
CA20A6853207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA20A6853OtherOSTEOPATHIC MEDICAL BOARD
CA20A6853OtherOSTEOPATHIC MEDICAL BOARD