Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | G623510 | CA |
NPI | 1285641837 |
---|---|
Provider Name | Richard Lee Friedman |
First Address | Burbank, CA 91505-4504 |
Second Address | Burbank, CA 91505-1204 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 17/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
E78311 | (02) | CA |