Individual
CARLOTTA VANESSA FREEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2640 INDUSTRY WAY, LYNWOOD, CA 90262-4284
(310) 627-4525
Mailing address
20 IRONSIDES ST, UNIT 1, MARINA DEL REY, CA 90292-5981
(310) 512-7760
(310) 512-7760
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
G84704
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G847040
—
CA
Enumeration date
04/26/2007
Last updated
05/13/2020
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