Healthcare Provider Details

I. General information

NPI: 1740296151
Provider Name (Legal Business Name): ALAN NEWMAN D.D.S.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 01/15/2026
Certification Date: 01/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

444 S SAN VICENTE BLVD #1101
LOS ANGELES CA
90048-4165
US

IV. Provider business mailing address

2923 BRADLEY ST SUITE 120
PASADENA CA
91107-1502
US

V. Phone/Fax

Practice location:
  • Phone: 310-423-9600
  • Fax: 310-423-9610
Mailing address:
  • Phone: 626-795-6596
  • Fax: 626-795-8247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223S0112X
TaxonomyOral and Maxillofacial Surgery (Dentist)
License NumberDDS42582
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1223X2210X
TaxonomyOrofacial Pain Dentistry
License Number42582
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: