Individual
JANE H FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4835 VAN NUYS BLVD, STE 215, SHERMAN OAKS, CA 91403-2146
(818) 995-3132
(818) 995-1381
Mailing address
4835 VAN NUYS BLVD, STE 215, SHERMAN OAKS, CA 91403-2146
(818) 995-3132
(818) 995-1381
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G51533
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G515330
—
CA
Enumeration date
07/01/2005
Last updated
10/17/2011
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