Organization
ELAN M. NEWMAN, M.D., INC
Active
Other names
DermConsult
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELAN MORDECI NEWMAN MD (DERMATOLOGIST/PRESIDENT)
(818) 730-1629
Entity
Organization
Contact information
Practice address
11622 EL CAMINO REAL FL 1, SAN DIEGO, CA 92130-2049
(858) 952-0715
Mailing address
6736 LOPEZ GLEN WAY, SAN DIEGO, CA 92126-6112
(858) 952-0715
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A100748
CA
Other
Enumeration date
11/18/2017
Last updated
01/07/2019
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