Timothy F. Kelley, M.D., Inc.

LBN: Timothy F. Kelley, M.D., Inc.
Timothy F. Kelley, M.D., Inc. is an health care organization with primary practice located at 520 Superior Ave Ste 315 , Newport Beach CA 92663-3667. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as the primary health care specialty. Timothy F. Kelley, M.D., Inc. can be contacted via phone (949) 645-3223, or through Kelley, Timothy F via phone (949) 645-3223.

Contact Information

Primary practice address
520 Superior Ave Ste 315 Newport Beach CA 92663-3667
Phone: (949) 645-3223
Fax: (949) 645-3222
Website:
Map and Directions
Authorized official contact:
Name: Kelley, Timothy F
Phone: (949) 645-3223

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X

Profile Details

NPI number 1609948843
LBN Legal business name Timothy F. Kelley, M.D., Inc.
DBA Doing business as
Authorized official Kelley, Timothy F
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2006
Last updated Nov 3rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609948843 NPPES
California MEDICAID 00G789990

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