| Alan C Newman Dds Inc | |
|
444 S San Vicente Blvd Suite 1101 Los Angeles CA 90048-4165 | |
| (310) 423-9600 | |
| (310) 423-9610 |
| Full Name | Alan C Newman Dds Inc |
|---|---|
| Speciality | Dentist |
| Location | 444 S San Vicente Blvd, Los Angeles, California |
| Authorized Official Name and Position | Alan C Newman (PRESIDENT) |
| Authorized Official Contact | 3109134543 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alan C Newman Dds Inc Po Box 60790 Pasadena CA 91116-6790 Ph: (626) 795-6596 | Alan C Newman Dds Inc 444 S San Vicente Blvd Suite 1101 Los Angeles CA 90048-4165 Ph: (310) 423-9600 |
| NPI Number | 1457895492 |
|---|---|
| Provider Enumeration Date | 12/09/2016 |
| Last Update Date | 09/08/2021 |
| Medicare PECOS PAC ID | 5294019121 |
|---|---|
| Medicare Enrollment ID | O20170221001530 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457895492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 42582 (California) | Secondary |
| 1223X2210X | Dentist - Orofacial Pain | (* (Not Available)) | Primary |
| Provider Name | Alan C Newman |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1740296151 PECOS PAC ID: 9436341872 Enrollment ID: I20101004001452 |
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