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NPI Code Detail

MEDICARE: MR. PAUL ANTHONY NEWHOUSE L.AC., M.S.

MEDICARE: MR. PAUL ANTHONY NEWHOUSE L.AC., M.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistAC13641CA

General Provider Information

NPI Number : 1558680157
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL ANTHONY NEWHOUSE L.AC., M.S.
Provider Business Mailing Address
First Line : 1919 S CATALINA AVE
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-5515
Country : US
Telephone Number : 310-378-7246
Fax Number : 310-373-9618
Provider Business Practice Location Address
First Line : 1919 S CATALINA AVE
Second Line :
City : REDONDO BEACH
State : CA
Zip : 90277-5515
Country : US
Telephone Number : 310-378-7246
Fax Number : 310-373-9618
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2010
Last Update Date : 05/12/2017

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