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Organization

MICHELE FREEMAN,M.D., INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELE Y FREEMAN M.D. (PRESIDENT)
(310) 419-6271
Entity
Organization

Contact information

Practice address
575 E HARDY ST, SUITE 104, INGLEWOOD, CA 90301-4036
(310) 419-6271
(310) 671-0878
Mailing address
575 E HARDY ST, SUITE 104, INGLEWOOD, CA 90301-4036
(310) 419-6271
(310) 671-0878

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
G56650
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00G566501
CA
01
390002917
RAILROAD MEDICARE
CA
Enumeration date
07/08/2006
Last updated
06/11/2014
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