MEDICARE: AMIR FRIEDMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	A64093	CA
2	208VP0014X	Interventional Pain Medicine Physician	A64093	CA

General Provider Information

NPI Number	:	1689662041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIR FRIEDMAN MD

Provider Business Mailing Address
First Line	:	16055 VENTURA BLVD
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91436-2601
Country	:	US
Telephone Number	:	310-251-3617
Fax Number	:

Provider Business Practice Location Address
First Line	:	16055 VENTURA BLVD
Second Line	:
City	:	ENCINO
State	:	CA
Zip	:	91436-2601
Country	:	US
Telephone Number	:	310-251-3617
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	11/04/2009

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Directions to “ AMIR FRIEDMAN MD” Practice Location

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