Provider Demographics
NPI:1093728503
Name:FRISCH, DONNA JO (MD)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:JO
Last Name:FRISCH
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:11 TECHNOLOGY DR
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-2302
Mailing Address - Country:US
Mailing Address - Phone:949-923-3250
Mailing Address - Fax:855-812-5865
Practice Address - Street 1:500 S ANAHEIM HILLS RD
Practice Address - Street 2:#206
Practice Address - City:ANAHEIM HILLS
Practice Address - State:CA
Practice Address - Zip Code:92807
Practice Address - Country:US
Practice Address - Phone:714-282-6934
Practice Address - Fax:714-282-6935
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2015-08-26
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Provider Licenses
StateLicense IDTaxonomies
CAG76025207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAP01391217OtherRR MEDICARE
CAW16596Medicaid
CACB214865Medicare PIN