| The Friedman Psychiatric Medical Group | |
|
5769 Uplander Way Culver City CA 90230-6605 | |
| (310) 337-9800 | |
| (310) 337-0400 |
| Full Name | The Friedman Psychiatric Medical Group |
|---|---|
| Speciality | Psychologist |
| Location | 5769 Uplander Way, Culver City, California |
| Authorized Official Name and Position | David Leonard Friedman (OWNER/PRESIDENT) |
| Authorized Official Contact | 3103379800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Friedman Psychiatric Medical Group 5769 Uplander Way Culver City CA 90230-6605 Ph: (310) 337-9800 | The Friedman Psychiatric Medical Group 5769 Uplander Way Culver City CA 90230-6605 Ph: (310) 337-9800 |
| NPI Number | 1780911156 |
|---|---|
| Provider Enumeration Date | 11/05/2009 |
| Last Update Date | 11/05/2009 |
| Medicare PECOS PAC ID | 2466599238 |
|---|---|
| Medicare Enrollment ID | O20091027000714 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780911156 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | G32221 (California) | Primary |
| Provider Name | David Friedman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215085659 PECOS PAC ID: 1658418421 Enrollment ID: I20091027000703 |
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