Individual
PHILIP BIDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
15503 VENTURA BLVD STE 240, ENCINO, CA 91436-3162
(818) 461-3321
(818) 461-3331
Mailing address
5767 W CENTURY BLVD STE 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
G46349
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G463490
—
CA
Enumeration date
09/14/2006
Last updated
10/09/2019
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