Provider Demographics
NPI:1417952797
Name:FREEDMAN, ERIC L (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:L
Last Name:FREEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:36951 COOK ST
Mailing Address - Street 2:STE 102
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-6082
Mailing Address - Country:US
Mailing Address - Phone:760-342-8444
Mailing Address - Fax:760-342-8544
Practice Address - Street 1:36951 COOK STREET
Practice Address - Street 2:STE 102
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92211-6082
Practice Address - Country:US
Practice Address - Phone:760-342-8444
Practice Address - Fax:760-342-8544
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-14
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA507120207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA330767790OtherTAX ID
CAH06835Medicare UPIN
CA1197050001Medicare NSC
CA00A507120Medicare PIN