Provider Demographics
NPI:1558680157
Name:NEWHOUSE, PAUL ANTHONY (LAC, MS)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:ANTHONY
Last Name:NEWHOUSE
Suffix:
Gender:M
Credentials:LAC, MS
Other - Prefix:
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Mailing Address - Street 1:1919 S CATALINA AVE
Mailing Address - Street 2:
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-5515
Mailing Address - Country:US
Mailing Address - Phone:310-378-7246
Mailing Address - Fax:310-373-9618
Practice Address - Street 1:1919 S CATALINA AVE
Practice Address - Street 2:
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-5515
Practice Address - Country:US
Practice Address - Phone:310-378-7246
Practice Address - Fax:310-373-9618
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-20
Last Update Date:2017-05-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC13641171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist