Alex Fridman Md Professional Corporation | |
948 N Fairfax Ave Ste 201 West Hollywood CA 90046-7204 | |
(323) 654-2020 | |
(323) 654-2828 |
Full Name | Alex Fridman Md Professional Corporation |
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Speciality | Clinic/center - Primary Care |
Location | 948 N Fairfax Ave Ste 201, West Hollywood, California |
Authorized Official Name and Position | Alex Fridman (PRESIDENT) |
Authorized Official Contact | 2138644615 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Alex Fridman Md Professional Corporation 5334 Lindley Ave Unit 222 Encino CA 91316-2905 Ph: (213) 864-4615 | Alex Fridman Md Professional Corporation 948 N Fairfax Ave Ste 201 West Hollywood CA 90046-7204 Ph: (323) 654-2020 |
NPI Number | 1255709838 |
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Provider Enumeration Date | 09/13/2015 |
Last Update Date | 09/13/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255709838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | A103675 (California) | Primary |
281P00000X | Chronic Disease Hospital | A103675 (California) | Secondary |
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