Stephanie Friduss, MD | |
39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 | |
(510) 795-3000 | |
Not Available |
Full Name | Stephanie Friduss |
---|---|
Gender | Female |
Speciality | Dermatology |
Location | 39400 Paseo Padre Pkwy, Fremont, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215012976 | NPI | - | NPPES |
00G637030 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | G63703 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Friduss, MD 1800 Harrison St Fl 7, Oakland, CA 94612-3466 Ph: (510) 625-6262 | Stephanie Friduss, MD 39400 Paseo Padre Pkwy, Fremont, CA 94538-2310 Ph: (510) 795-3000 |
Rebecca L. Shpall, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 3200 Kearney Street, Fremont, CA 94538 Phone: 510-490-1222 | |
Mr. Robert J Roth, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2557 Mowry Ave, Ste 34, Fremont, CA 94538 Phone: 510-797-4111 Fax: 410-797-3320 | |
Dr. Jeffrey Alan Carmel, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 2557 Mowry Ave, Ste 34, Fremont, CA 94538 Phone: 510-797-4111 Fax: 510-797-3320 | |
Peter Lu, MD Dermatology Medicare: Medicare Enrolled Practice Location: 48371 Fremont Blvd Ste 101, Fremont, CA 94538 Phone: 650-793-3686 | |
Mr. Sunil S Dhawan, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2557 Mowry Ave, Ste 34, Fremont, CA 94538 Phone: 510-797-4111 Fax: 510-797-3320 | |
Stephen B. Martinez, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 39400 Paseo Padre Pkwy, Fremont, CA 94538 Phone: 510-795-3000 |