Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | A99737 | CA |
NPI | 1073713657 |
---|---|
Provider Name | Dr. Daniel Lane Friedlich |
First Address | Murrieta, CA 92562-5987 |
Second Address | Murrieta, CA 92562-5987 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2007 |
Last Update Date | 23/10/2013 |