Provider Demographics
NPI:1154307767
Name:FRIEDMAN, RONALD ALLEN (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:ALLEN
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:798 CASS STREET
Mailing Address - Street 2:SUITE 204
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940
Mailing Address - Country:US
Mailing Address - Phone:831-375-2486
Mailing Address - Fax:831-375-0128
Practice Address - Street 1:798 CASS STREET
Practice Address - Street 2:SUITE 204
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940
Practice Address - Country:US
Practice Address - Phone:831-375-2486
Practice Address - Fax:834-375-0128
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2013-02-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG49442207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0077640Medicaid
CA00G494420Medicare PIN
A51370Medicare UPIN