Friedman, Gerald Stanley

Friedman, Gerald Stanley is an individual health care provider with primary practice located at 600 N 13Th Ave Ste 100, Upland CA 91786-4957. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Friedman, Gerald Stanley can be contacted via phone (909) 373-1799.

Contact Information

Primary practice address
600 N 13Th Ave Ste 100 Upland CA 91786-4957
Phone: (909) 373-1799
Fax: (909) 373-0428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X G19835 California

Profile Details

NPI number 1366474322
LBN Legal business name Friedman, Gerald Stanley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Feb 24th, 2011 - about 14 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 1366474322 NPPES
California MEDICAID 00G198350

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