Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 20A8867 | CA |
N | 2081P2900X | Pain Medicine | MB07988000 | NJ |
NPI | 1326184896 |
---|---|
Provider Name | Dr. Darren Freeman |
First Address | Riverside, CA 92501 |
Second Address | Riverside, CA 92501-3315 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/01/2007 |
Last Update Date | 24/08/2017 |