Matilde Fredrickson, DO
Family Medicine, Addiction Medicine in Oakland, CA. Individual provider (NPI-1).
NPI number1770011348
StatusActive
Last updated in NPPESSep 1, 2021
Details
- NPI
- 1770011348
- Entity type
- Individual (NPI-1)
- Name
- Matilde Fredrickson
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 26, 2017
- Certification date
- Sep 1, 2021
- Last updated
- Sep 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0401X | Family Medicine, Addiction Medicine | 20A16704 | CA | Yes |
Other names
- Maty Gil (Professional Name)
Practice location
1411 E 31st StOakland, CA 94602-1018
Phone 510-437-5039
Mailing address
1923 8th StBerkeley, CA 94710-2014
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