Healthcare Provider Details

I. General information

NPI: 1578576013
Provider Name (Legal Business Name): MICHAEL L. FRIEDMAN, MD., A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 12/14/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4201 TORRANCE BLVD STE 660
TORRANCE CA
90503-4522
US

IV. Provider business mailing address

4201 TORRANCE BLVD STE 660
TORRANCE CA
90503-4522
US

V. Phone/Fax

Practice location:
  • Phone: 310-316-4373
  • Fax: 310-316-1291
Mailing address:
  • Phone: 310-316-4373
  • Fax: 310-316-1291

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License NumberG15327
License Number StateCA

VIII. Authorized Official

Name: DR. MICHAEL L. FRIEDMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 310-316-4373