Fredric L Edelman Md A Prof Corp
LBN: Fredric L Edelman Md A Prof Corp
Fredric L Edelman Md A Prof Corp is an health care organization with primary practice located at 16830 Ventura Blvd Ste 130 , Encino CA 91436-1786. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurological Surgery. Other Service Providers / Specialist is the primary health care specialty.
Fredric L Edelman Md A Prof Corp can be contacted via phone (818) 781-3350, or through Aguilera, Cheryl via phone (818) 781-3350.
Contact Information
Primary practice address
16830 Ventura Blvd Ste 130
Encino CA 91436-1786
Phone: (818) 781-3350
Fax: (818) 781-7237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G15613 | California |
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | G15613 | California |
Profile Details
| NPI number | 1952582249 |
|---|---|
| LBN Legal business name | Fredric L Edelman Md A Prof Corp |
| DBA Doing business as | |
| Authorized official | Aguilera, Cheryl |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 15th, 2007 |
| Last updated | Mar 16th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952582249 | NPPES |
| California | MEDICAID | GR0079310 |
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