Provider Demographics
NPI:1285641837
Name:FRIEDMAN, RICHARD LEE (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:LEE
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 S BUENA VISTA ST
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-4504
Mailing Address - Country:US
Mailing Address - Phone:818-847-4431
Mailing Address - Fax:818-847-8832
Practice Address - Street 1:181 SOUTH BUENA VISTA STREET
Practice Address - Street 2:3RD FLOOR
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-1204
Practice Address - Country:US
Practice Address - Phone:818-847-4436
Practice Address - Fax:818-847-8832
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2016-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG623510207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE78311Medicare UPIN
CAWG62351DMedicare ID - Type Unspecified