Provider Demographics
NPI:1255340618
Name:BELOVE, DANIEL (DCC)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:BELOVE
Suffix:
Gender:M
Credentials:DCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4299 MACARTHUR BLVD
Mailing Address - Street 2:106
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-2023
Mailing Address - Country:US
Mailing Address - Phone:949-222-2215
Mailing Address - Fax:
Practice Address - Street 1:4299 MACARTHUR BLVD
Practice Address - Street 2:106
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2023
Practice Address - Country:US
Practice Address - Phone:949-222-2215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC15864111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADC15864Medicare ID - Type Unspecified
CAT05937Medicare UPIN