BLUE HARBOR DERMATOLOGY INC
Dermatology at Superior Ave, Newport Beach, CA

License number
California 20A12076
Category
Osteopathic Medicine
Type
Dermatology
Owner
Name: KEVIN BELASCO MD
Title: PHYSICIAN
Phone: (800) 828-2012
Address
Address
1501 Superior Ave SUITE 115, Newport Beach, CA 92663
National Provider ID: 1962829457
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Blue Harbor Dermatology, Inc

Newport Beach, CA

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Mar 13, 2014
Addresses:
1501 Superior Ave, Newport Beach, CA 92663
1301 Superior Ave, Newport Beach, CA 92663
State ID:
03654680
Business type:
Articles of Incorporation
President:
Kevin T. Belasco (President)

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