| Enrique Friedman, M.d., Inc. | |
|
1400 N Harbor Blvd Suite 106 Fullerton CA 92835-4126 | |
| (714) 879-2732 | |
| Not Available |
| Full Name | Enrique Friedman, M.d., Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1400 N Harbor Blvd, Fullerton, California |
| Authorized Official Name and Position | Enrique Friedman, M.d. (OWNER) |
| Authorized Official Contact | 7148792732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enrique Friedman, M.d., Inc. 1400 N Harbor Blvd Suite 106 Fullerton CA 92835-4126 Ph: (714) 879-2732 | Enrique Friedman, M.d., Inc. 1400 N Harbor Blvd Suite 106 Fullerton CA 92835-4126 Ph: (714) 879-2732 |
| NPI Number | 1700987849 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700987849 | NPI | - | NPPES |
| A26023 | Other | CA | CA LICENSE |
| 1104839877 | Other | CA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A26023 (California) | Primary |
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