Healthcare Provider Details

I. General information

NPI: 1851492896
Provider Name (Legal Business Name): GWEN BARBARA KLYMAN-FRIEND M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 11/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3440 W. LOMITA BLVD. #352
TORRANCE CA
90505
US

IV. Provider business mailing address

3440 W. LOMITA BLVD. #352
TORRANCE CA
90505
US

V. Phone/Fax

Practice location:
  • Phone: 310-539-2445
  • Fax: 310-539-0061
Mailing address:
  • Phone: 310-539-2445
  • Fax: 310-539-0061

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberG13850
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: