Fredric L Edelman Md A Prof Corp in Encino - Specialist
Fredric L Edelman Md A Prof Corp - NPI 1952582249
Fredric L Edelman Md A Prof Corp is a Specialist in Encino, California. Fredric L Edelman Md A Prof Corp practices all healthcare services and medical treatments related to Specialist. The NPI Number for Fredric L Edelman Md A Prof Corp is 1952582249. The last update date is 2022-03-16.
Fredric L Edelman Md A Prof Corp's current location address is 16830 Ventura Blvd Ste 130, Encino, California. You can contact this provider via phone number 8187813350 and fax number 8187817237. The mailing address for Fredric L Edelman Md A Prof Corp is 16830 Ventura Blvd Ste 130, Encino, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Fredric L Edelman Md A Prof Corp |
---|---|
Address | 16830 Ventura Blvd Ste 130, Encino, California |
Phone Number | 8187813350 |
Fax Number | 8187817237 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | MANAGER |
---|---|
Authorized Official Name | Aguilera Cheryl |
Telephone Number | 8187813350 |
NPI Number Detail
NPI Number | 1952582249 |
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Provider Enumeration Date | 2007-11-15 |
Last Updated Date | 2022-03-16 |
Provider Mailing Address Detail
Address | 16830 Ventura Blvd Ste 130 |
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City | Encino |
State | California (CA) |
Post Code | 914361786 |
Phone Number | 8187813350 |
Fax Number | 8187817237 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
---|---|
Taxonomy | 174400000X |
Licence No | G15613 |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
GR0079310 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Fredric L Edelman Md A Prof Corp by the Centers for Medicare & Medicaid Services?
The Fredric L Edelman Md A Prof Corp has been issued the NPI (National Provider Identifier) 1952582249, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Fredric L Edelman Md A Prof Corp is located?
The Fredric L Edelman Md A Prof Corp is situated at the following address: 16830 Ventura Blvd Ste 130, Encino, CA, 914361786.
What is Fredric L Edelman Md A Prof Corp's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Fredric L Edelman Md A Prof Corp is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1952582249 to Fredric L Edelman Md A Prof Corp?
The Centers for Medicare & Medicaid Services originally issued the 1952582249 to Fredric L Edelman Md A Prof Corp on 2007-11-15.
As of what date were the details related to Fredric L Edelman Md A Prof Corp most recently updated or revised?
The information pertaining to Fredric L Edelman Md A Prof Corp, including its address, specialty, and other relevant details, was last updated or revised on 2022-03-16.
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