Healthcare Provider Details

I. General information

NPI: 1043128929
Provider Name (Legal Business Name): FELICIA ERIN NEWMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1605 E MISSION RD
FALLBROOK CA
92028-1761
US

IV. Provider business mailing address

1605 E MISSION RD
FALLBROOK CA
92028-1761
US

V. Phone/Fax

Practice location:
  • Phone: 442-207-2778
  • Fax:
Mailing address:
  • Phone: 442-207-2778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number02403848
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: