Individual
ERIC KENT FRYKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 782-3715
(951) 784-3275
Mailing address
7117 BROCKTON AVE, RIVERSIDE, CA 92506-2658
(951) 782-3789
(951) 784-3275
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A62970
CA
2083P0901X
Public Health & General Preventive Medicine Physician
A62970
CA
208D00000X
General Practice Physician
G85917
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A629700
—
CA
01
—
ZZZ31887Z
SITE PTAN
CA
Enumeration date
06/27/2006
Last updated
04/11/2025
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