Jack Friedman, M.D., INC
Specialist in Burbank, CA. Organization (NPI-2).
NPI number1235337635
StatusActive
Last updated in NPPESDec 21, 2012
Details
- NPI
- 1235337635
- Entity type
- Organization (NPI-2)
- Legal business name
- Jack Friedman, M.D., INC
- Organization subpart
- No
- Enumeration date
- Jul 6, 2007
- Last updated
- Dec 21, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | C29269 | CA | Yes |
Practice location
2625 W Alameda AveSuite 514
Burbank, CA 91505-4806
Phone 916-971-3900 · Fax 916-971-3618
Mailing address
2625 W Alameda AveSuite# 514
Burbank, CA 91505-4806
Phone 310-593-1330 · Fax 424-228-5729
Authorized official
Jack Friedman
Owner/Provider
3105931330
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