Healthcare Provider Details

I. General information

NPI: 1265641229
Provider Name (Legal Business Name): ADAM ISAAC FRIEDMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 02/19/2020
Certification Date: 02/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27879 SMYTH DR
VALENCIA CA
91355
US

IV. Provider business mailing address

27879 SMYTH DR
VALENCIA CA
91355-4011
US

V. Phone/Fax

Practice location:
  • Phone: 661-259-2500
  • Fax: 661-362-0230
Mailing address:
  • Phone: 661-259-2500
  • Fax: 661-362-0230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberA86430
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: