1598904849 NPI number — LOS ANGELES COUNTY PROBATION DEPARTMENT

Table of content: MR. MICHAEL LYNN NEWCOMER M.D. (NPI 1386673028)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1598904849 NPI number — LOS ANGELES COUNTY PROBATION DEPARTMENT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LOS ANGELES COUNTY PROBATION DEPARTMENT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1598904849
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/10/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8240 BROADWAY AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WHITTIER
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
90606-3120
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
562-908-3117
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8240 BROADWAY AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WHITTIER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
90606-3120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
562-908-3117
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/10/2009

Additional Information

Authorized Official

Authorized Official Last Name:
RAMIREZ
Authorized Official First Name:
DANIEL
Authorized Official Middle Name:
MARIN
Authorized Official Title or Position:
DEPUTY PROBATION OFFICER II
Authorized Official Telephone Number:
562-902-2989

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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