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NPI 1598089286

NPI 1598089286 : JOSHUA FREEDMAN MD, INC : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1598089286
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOSHUA FREEDMAN MD, INC 
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Dates
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    Enumeration Date     |    03/24/2010
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    Last Update Date     |    03/24/2010
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Provider Practice Location Address
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    Address Line         |    921 WESTWOOD BLVD STE 220
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90024
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    Country              |    US
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    Telephone            |    310-208-1744
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    Fax                  |    310-824-1883
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Provider Business Mailing Address
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    Address Line         |    921 WESTWOOD BLVD STE 220
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90024
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    Country              |    US
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    Telephone            |    310-208-1744
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    Fax                  |    310-824-1883
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     JOSHUA  FREEDMAN 
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    Credential           |    M.D.
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    Telephone            |    310-208-1744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    G66478
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    License Number State |    CA
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