Provider Demographics
NPI:1770685836
Name:HOWARD K NEWMAN, M.D., INC
Entity Type:Organization
Organization Name:HOWARD K NEWMAN, M.D., INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:K
Authorized Official - Last Name:NEWMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:626-963-6026
Mailing Address - Street 1:412 W CARROLL AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:GLENDORA
Mailing Address - State:CA
Mailing Address - Zip Code:91741-4240
Mailing Address - Country:US
Mailing Address - Phone:626-963-6026
Mailing Address - Fax:626-963-5094
Practice Address - Street 1:412 W CARROLL AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:GLENDORA
Practice Address - State:CA
Practice Address - Zip Code:91741-4240
Practice Address - Country:US
Practice Address - Phone:626-963-6026
Practice Address - Fax:626-963-5094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC34941208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00C349411Medicaid
CAA35776Medicare UPIN
CA00C349411Medicaid
CU030AMedicare PIN