Healthcare Provider Details

I. General information

NPI: 1013372713
Provider Name (Legal Business Name): RICHARD J. FRIEDMAN PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2015
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6525 W SUNSET BLVD STE 203
LOS ANGELES CA
90028-7193
US

IV. Provider business mailing address

6525 W SUNSET BLVD STE 203
LOS ANGELES CA
90028-7193
US

V. Phone/Fax

Practice location:
  • Phone: 323-919-9520
  • Fax:
Mailing address:
  • Phone: 323-919-9520
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 27900
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License NumberPSY27900
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: