Matilde Fredrickson
Family Doctor - Addiction Medicine
1411 E 31st St
Oakland
, California 94602-1018
Matilde Fredrickson
Family Doctor - Addiction Medicine
1411 E 31st St
Oakland
, California 94602-1018
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About
Features
Specialties
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Matilde Fredrickson
- 1923 8th St
- Berkeley, CA
- Zip : 94710-2014
- Phone :
Second Address
- Matilde Fredrickson
- 1411 E 31st St
- Oakland, CA
- Zip : 94602-1018
- Phone : (510) 437-5039
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FAQs
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Is Matilde Fredrickson accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 20A16704 | CA |
National Provider Identifier
| NPI | 1770011348 |
|---|---|
| Provider Name | Matilde Fredrickson |
| First Address | Berkeley, CA 94710-2014 |
| Second Address | Oakland, CA 94602-1018 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/05/2017 |
| Last Update Date | 01/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.