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Individual

MICHAEL S NEWMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
4647 ZION AVE, KAISER PERMANENTE DEPARTMENT OF PULMONARY-CRITICAL CARE, SAN DIEGO, CA 92120-2507
(619) 528-5865
(619) 528-3189
Mailing address
4647 ZION AVE, KAISER PERMANENTE DEPARTMENT OF PULMONARY-CRITICAL CARE, SAN DIEGO, CA 92120-2507
(619) 528-5865
(619) 528-3189

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
20A 12416
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
246136
MA
207RP1001X
Pulmonary Disease Physician
Primary
20A 12416
CA
207RP1001X
Pulmonary Disease Physician
246136
MA
207RP1001X
Pulmonary Disease Physician
OP60477657
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1790768547
GROUP NPI
WA
01
1902846306
GROUP NPI
CA
05
2039250
WA
01
GR0100430
GROUP MEDI-CAL
CA
01
W18762
GROUP MEDICARE
CA
Enumeration date
01/23/2007
Last updated
11/22/2021
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