Individual
DR. RICHARD TODD FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1100 VAN NESS AVE, SAN FRANCISCO, CA 94109-6978
(415) 600-1000
(415) 558-7051
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(415) 600-1000
(415) 558-7051
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
A71441
CA
207R00000X
Internal Medicine Physician
A71441
CA
207RG0100X
Gastroenterology Physician
Primary
A71441
CA
207RI0008X
Hepatology Physician
A71441
CA
207RT0003X
Transplant Hepatology Physician
A71441
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A714410
—
CA
01
—
A71441
STATE MEDICAL LICENSE
CA
Enumeration date
07/21/2006
Last updated
08/26/2021
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