Organization
ALEX FRIDMAN MD PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEX FRIDMAN JR. MD (PRESIDENT)
(213) 864-4615
Entity
Organization
Contact information
Practice address
948 N FAIRFAX AVE STE 201, WEST HOLLYWOOD, CA 90046-7204
(323) 654-2020
(323) 654-2828
Mailing address
5334 LINDLEY AVE UNIT 222, ENCINO, CA 91316-2905
(213) 864-4615
(818) 357-2171
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
A103675
CA
281P00000X
Chronic Disease Hospital
A103675
CA
Other
Enumeration date
09/13/2015
Last updated
09/13/2015
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