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NPI Code Detail

MEDICARE: DR. JEROME R FRIEDLAND M.D.

MEDICARE: DR. JEROME R FRIEDLAND M.D.
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
1207X00000XOrthopaedic Surgery PhysicianA30198CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336191949
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEROME R FRIEDLAND M.D.
Provider Business Mailing Address
First Line : 2702 LADBROOK WAY
Second Line :
City : THOUSAND OAKS
State : CA
Zip : 91361-5350
Country : US
Telephone Number : 805-495-0747
Fax Number : 805-495-9997
Provider Business Practice Location Address
First Line : 18039 SHERMAN WAY
Second Line :
City : RESEDA
State : CA
Zip : 91335-4630
Country : US
Telephone Number : 818-708-8100
Fax Number : 818-705-8818
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2006
Last Update Date : 10/12/2011

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