Provider Demographics
NPI:1699020792
Name:NEWBURG, HANNAH MIRIAM (MD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:MIRIAM
Last Name:NEWBURG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1140 W LA VETA AVE STE 770
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-4229
Mailing Address - Country:US
Mailing Address - Phone:714-835-8715
Mailing Address - Fax:714-835-8683
Practice Address - Street 1:1140 W LA VETA AVE STE 770
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4229
Practice Address - Country:US
Practice Address - Phone:714-835-8715
Practice Address - Fax:714-835-8683
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-16
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA126678207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology