Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MATILDE FREDRICKSON, DO
ActiveMATILDE FREDRICKSON, DO is a Addiction Medicine (Family Practice) healthcare provider located in OAKLAND, California. NPI 1770011348 is currently active in the NPPES registry. Verify at CMS.
Addiction Medicine (Family Practice) · OAKLAND, CA
Registration Details
- NPI Number
- 1770011348
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 26, 2017 (9.2527858735701 yrs)
- Last Updated
- Sep 1, 2021
- License
-
20A16704 (CA)
Practice Information
- Address
-
1411 E 31ST STOAKLAND, CA, 946021018Browse CA providers · Browse ZIP 94602
- Phone
- 5104375039
- Primary Specialty
-
Addiction Medicine (Family Practice)
207QA0401X
Other Addiction Medicine (Family Practice) Providers in OAKLAND, CA
| Name | Credential | NPI |
|---|---|---|
| JUDITH ANN MARTIN | MD | 1073703682 |
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.