Provider Demographics
NPI:1013926492
Name:NEWMAN, MARK LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:LEE
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2802 E HILLSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WEST COVINA
Mailing Address - State:CA
Mailing Address - Zip Code:91791-3763
Mailing Address - Country:US
Mailing Address - Phone:626-917-7111
Mailing Address - Fax:626-917-7111
Practice Address - Street 1:26 CENTERPOINTE DR STE 115
Practice Address - Street 2:
Practice Address - City:LA PALMA
Practice Address - State:CA
Practice Address - Zip Code:90623-2567
Practice Address - Country:US
Practice Address - Phone:714-522-8020
Practice Address - Fax:714-522-7833
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2011-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA38936174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist