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NPI Code Detail

MEDICARE: CAROLYN FRIEND

MEDICARE: CAROLYN FRIEND
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
1373H00000XDay Training/Habilitation SpecialistCA

General Provider Information

NPI Number : 1477491355
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN FRIEND
Provider Business Mailing Address
First Line : 2457 ENDICOTT ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90032-3047
Country : US
Telephone Number : 323-221-5177
Fax Number :
Provider Business Practice Location Address
First Line : 5335 CRANER AVE
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91601-3313
Country : US
Telephone Number : 818-927-4045
Fax Number : 818-927-4016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2026
Last Update Date : 03/23/2026

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