Healthcare Provider Details

I. General information

NPI: 1477727535
Provider Name (Legal Business Name): BRENNAN FRIEDMAN AND KAPJIAN A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2008
Last Update Date: 04/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3230 BEARD RD. #B
NAPA CA
94558-0000
US

IV. Provider business mailing address

3230 BEARD RD. #B
NAPA CA
94558-0000
US

V. Phone/Fax

Practice location:
  • Phone: 707-255-2026
  • Fax: 707-255-8721
Mailing address:
  • Phone: 707-255-2026
  • Fax: 707-255-8721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA41990
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA66851
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG81027
License Number StateCA

VIII. Authorized Official

Name: DR. GEORGE Z. FRIEDMAN
Title or Position: M.D
Credential:
Phone: 707-255-2026