Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
HAL M FREDERICK, MD
ActiveHAL M FREDERICK, MD is a Body Imaging healthcare provider located in SANTA MONICA, California. NPI 1720065931 is currently active in the NPPES registry. Verify at CMS.
Body Imaging · SANTA MONICA, CA
Registration Details
- NPI Number
- 1720065931
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 29, 2005 (20.440843368743 yrs)
- Last Updated
- Aug 11, 2022
- Licenses
-
031741 (GA)G52182 (CA)
Practice Information
- Address
-
2428 SANTA MONICA BLVDSANTA MONICA, CA, 904042045Browse CA providers · Browse ZIP 90404
- Phone
- 3103151000
- Primary Specialty
-
Body Imaging
2085B0100X
- Additional Specialty
- Body Imaging
Other Body Imaging Providers in SANTA MONICA, CA
| Name | Credential | NPI |
|---|---|---|
| DR. MONICA SUDHIR DESHMUKH | M.D | 1013120120 |
| DR. DARYOUSH KHANI | M.D. | 1609070218 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.