Organization
PACIFIC GYNECOLOGIC SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LEE FRIEDMAN M.D. (MANAGING PARTNER)
(818) 847-4436
Entity
Organization
Contact information
Practice address
181 SOUTH BUENA VISTA STREET, 3RD FLOOR, BURBANK, CA 91505-1204
(818) 847-4436
(818) 847-4432
Mailing address
P.O, BOX 8410, PASADENA, CA 91109-8410
(818) 847-4436
(818) 847-4432
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
GR0103810
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0103810
—
CA
Enumeration date
07/10/2007
Last updated
08/09/2011
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