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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FREDRIC L EDELMAN MD A PROF CORP

Active Organization

FREDRIC L EDELMAN MD A PROF CORP is a Specialist organization located in ENCINO, California. NPI 1952582249 is currently active in the NPPES registry. Verify at CMS.

Specialist · ENCINO, CA

Registration Details

NPI Number
1952582249
Provider Type
Organization
NPI Issued
Nov 15, 2007 (18.745065404419 yrs)
Last Updated
Mar 16, 2022
Licenses
G15613 (CA)
G15613 (CA)

Practice Information

Address
16830 VENTURA BLVD STE 130
ENCINO, CA, 914361786
Browse CA providers · Browse ZIP 91436
Phone
8187813350
Fax
8187817237
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.