Healthcare Provider Details

I. General information

NPI: 1720147572
Provider Name (Legal Business Name): ARMAND NEWMAN M.D. INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2006
Last Update Date: 06/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 WILSHIRE BLVD SUITE. 301
BEVERLY HILLS CA
90210-5424
US

IV. Provider business mailing address

9301 WILSHIRE BLVD SUITE. 301
BEVERLY HILLS CA
90210-5424
US

V. Phone/Fax

Practice location:
  • Phone: 301-273-2216
  • Fax: 310-273-5601
Mailing address:
  • Phone: 301-273-2216
  • Fax: 310-273-5601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberA41518
License Number StateCA

VIII. Authorized Official

Name: ARMAND NEWMAN
Title or Position: DIRECTOR
Credential: M.D.
Phone: 310-273-2216