Basic Information
Provider Information
NPI: 1376591719
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: NEWTON
FirstName: PATRICIA
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 1319
Address2:  
City: SALIDA
State: CA
PostalCode: 953681319
CountryCode: US
TelephoneNumber: 2095436279
FaxNumber: 2095436280
Practice Location
Address1: 12291 WASHINGTON BLVD
Address2: 500
City: WHITTIER
State: CA
PostalCode: 906062500
CountryCode: US
TelephoneNumber: 5626982541
FaxNumber: 5626980010
Other Information
ProviderEnumerationDate: 05/05/2006
LastUpdateDate: 09/04/2008
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000XG76548CAY Allopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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