Healthcare Provider Details

I. General information

NPI: 1669401881
Provider Name (Legal Business Name): MICHAEL KARIM NEWMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2006
Last Update Date: 08/29/2023
Certification Date: 08/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3640 LOMITA BLVD STE 306
TORRANCE CA
90505-3904
US

IV. Provider business mailing address

3440 LOMITA BLVD SUITE 100
TORRANCE CA
90505-4801
US

V. Phone/Fax

Practice location:
  • Phone: 310-784-0644
  • Fax: 310-784-0544
Mailing address:
  • Phone: 310-784-0644
  • Fax: 310-784-0544

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number0101232282
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberMD036077
License Number StateDC
# 3
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License NumberA96118
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: