Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | G50391 | CA |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | G50391 | CA |
NPI | 1659459451 |
---|---|
Provider Name | Steven M. Freedman |
First Address | Walnut Creek, CA 94597-2168 |
Second Address | Walnut Creek, CA 94598-3122 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 03/02/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00G503910 | (05) | CA |
A51666 | (02) |