Friedman, Jason Todd

Friedman, Jason Todd is an sole proprietor health care provider with primary practice located at 15644 Pomerado Rd Suite 103, Poway CA 92064-2400. He recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as his primary health care specialty. Friedman, Jason Todd can be contacted via phone (858) 613-0958.

Contact Information

Primary practice address
15644 Pomerado Rd Suite 103 Poway CA 92064-2400
Phone: (858) 613-0958
Fax: (858) 613-0959
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X CPO1661 California

Profile Details

NPI number 1881870285
LBN Legal business name Friedman, Jason Todd
Credentials C.P.O.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 15th, 2008
Last updated Jun 24th, 2010 - 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 1881870285 NPPES
California MEDICAID GXC000850

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