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General NPI Number Information
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NPI Number | 1902018385
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Entity Type | Individual
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Provider Name | ALEX FRIDMAN JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/05/2007
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 17114 DEVONSHIRE ST # 200
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City | NORTHRIDGE
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State | CA
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Zip | 91325-1619
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Country | US
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Telephone | 818-646-1771
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Fax | 818-855-2335
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Provider Business Mailing Address
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Address Line | 5222 LINDLEY AVE UNIT 1
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City | ENCINO
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State | CA
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Zip | 91316-3554
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Country | US
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Telephone | 818-570-2640
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Fax | 425-305-4713
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | A103675
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | A103675
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License Number State | CA
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