Provider Demographics
NPI:1477727535
Name:BRENNAN FRIEDMAN AND KAPJIAN A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:BRENNAN FRIEDMAN AND KAPJIAN A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:Z
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-255-2026
Mailing Address - Street 1:3230 BEARD RD. #B
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-0000
Mailing Address - Country:US
Mailing Address - Phone:707-255-2026
Mailing Address - Fax:707-255-8721
Practice Address - Street 1:3230 BEARD RD. #B
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-0000
Practice Address - Country:US
Practice Address - Phone:707-255-2026
Practice Address - Fax:707-255-8721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-18
Last Update Date:2010-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA41990207Q00000X
CAA66851207Q00000X
CAG81027207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty