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FREDRIC L EDELMAN MD A PROF CORP NPI 1952582249


NPI Information

NPI: 1952582249
Provider Name: FREDRIC L EDELMAN MD A PROF CORP
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
16830 VENTURA BLVD STE 130
ENCINO, CA
ZIP 91436
Phone: (818) 781-3350
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FREDRIC L EDELMAN MD A PROF CORP is a specialist in Encino, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. FREDRIC L EDELMAN MD A PROF CORP NPI is 1952582249. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

16830 VENTURA BLVD STE 130
ENCINO, CA
ZIP 91436-786
Phone: (818) 781-3350
Fax: (818) 781-7237

The provider's authorized official is Cheryl Aguilera .
The authorized official title is Manager and has the following contact phone number (818) 781-3350.

The enumeration date for this NPI number is 11/15/2007 and was last updated on 3/16/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological SurgeryG15613CALIFORNIANo
2174400000XSpecialistG15613CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0079310MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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