Organization
BRADLEY J FRIEDMAN MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY J FRIEDMAN MD (CEO/PRESIDENT)
(310) 849-5773
Entity
Organization
Contact information
Practice address
11613 W PICO BLVD, LOS ANGELES, CA 90064-2908
(310) 268-2288
(310) 268-1553
Mailing address
2928 CORRAL CANYON RD, MALIBU, CA 90265-2915
(310) 849-5773
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831383082
—
CA
Enumeration date
03/31/2021
Last updated
03/31/2021
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