Individual
DR. THEODORE FRIEDMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9500 GILMAN DRIVE, LA JOLLA, CA 92093-0634
(858) 534-4268
(858) 534-1422
Mailing address
9470 LA JOLLA SHORES DR, LA JOLLA, CA 92037-1137
(858) 535-9678
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
G20127
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
274271
UNIVERSITY EMPLOYEE NUMBER
CA
Enumeration date
11/26/2008
Last updated
11/26/2008
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