Individual
DR. KEVIN EUGENE FRIDIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 PORTER DR, SUITE 100, SAN RAMON, CA 94583-1587
(925) 838-6880
Mailing address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(800) 883-7243
(714) 647-1245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A45276
CA
Other
Enumeration date
01/18/2006
Last updated
06/03/2011
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