Frederick, Hal M

Frederick, Hal M is an individual health care provider with primary practice located at 2428 Santa Monica Blvd , Santa Monica CA 90404-2045. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Body Imaging is his primary health care specialty. Frederick, Hal M can be contacted via phone (310) 315-1000.

Contact Information

Primary practice address
2428 Santa Monica Blvd Santa Monica CA 90404-2045
Phone: (310) 315-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 031741 Georgia
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X G52182 California

Profile Details

NPI number 1720065931
LBN Legal business name Frederick, Hal M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Aug 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720065931 NPPES
Georgia MEDICAID 000393698

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