Healthcare Provider Details

I. General information

NPI: 1306991344
Provider Name (Legal Business Name): ERIN Y NEWMAN MA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1321 N HARBOR BLVD STE 101
FULLERTON CA
92835-4129
US

IV. Provider business mailing address

1321 N HARBOR BLVD STE 101
FULLERTON CA
92835-4129
US

V. Phone/Fax

Practice location:
  • Phone: 714-870-4822
  • Fax: 714-870-4804
Mailing address:
  • Phone: 714-870-4822
  • Fax: 714-870-4804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberHA2885
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: