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Individual

DR. BRANDON JAY FRIEDMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2150 N WATERMAN AVE, SUITE 201, SAN BERNARDINO, CA 92404-4811
(909) 881-2020
Mailing address
2150 N WATERMAN AVE, SUITE 201, SAN BERNARDINO, CA 92404-4811
(909) 881-2020

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
13943
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1619288115
CA
Enumeration date
06/30/2010
Last updated
08/02/2022
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