Provider Demographics
NPI:1033114756
Name:NEWMAN, PHILIP EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:PHILIP
Middle Name:EDWARD
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3080 BRISTOL ST
Mailing Address - Street 2:STE 600
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92626-7341
Mailing Address - Country:US
Mailing Address - Phone:714-445-0220
Mailing Address - Fax:714-445-0245
Practice Address - Street 1:24012 CALLE DE LA PLATA
Practice Address - Street 2:STE 150
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3621
Practice Address - Country:US
Practice Address - Phone:949-837-1578
Practice Address - Fax:949-837-8154
Is Sole Proprietor?:No
Enumeration Date:2005-06-17
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAC37143207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease