Provider Demographics
NPI:1902950132
Name:NEWMAN, LEONARD ALEXANDER (MD)
Entity Type:Individual
Prefix:MR
First Name:LEONARD
Middle Name:ALEXANDER
Last Name:NEWMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 EL TOYONAL
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-2228
Mailing Address - Country:US
Mailing Address - Phone:925-254-3095
Mailing Address - Fax:
Practice Address - Street 1:500 ALFRED NOBLE DR
Practice Address - Street 2:STE 225
Practice Address - City:HERCULES
Practice Address - State:CA
Practice Address - Zip Code:94547
Practice Address - Country:US
Practice Address - Phone:888-527-4515
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA65361207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM20030492OtherMEDICAL LICENSE
CT037247OtherMEDICAL LICENSE
NV10451OtherMEDICAL LICENSE
WAMD00042311OtherMEDICAL LICENSE
CO41826OtherMEDICAL LICENSE
UT52342871205OtherMEDICAL LICENSE
ORMD25499OtherMEDICAL LICENSE