MEDICARE: DR. ALEXANDER FRIEDMAN D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	20A16143	CA

General Provider Information

NPI Number	:	1174973242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER FRIEDMAN D.O.

Provider Business Mailing Address
First Line	:	6719 ALVARADO RD STE 200
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-5256
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6719 ALVARADO RD STE 200
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-5256
Country	:	US
Telephone Number	:	206-265-3889
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/20/2016
Last Update Date	:	07/23/2021

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