Provider Demographics
NPI:1558030130
Name:FUREDI, JAMES DAVID (PA)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:DAVID
Last Name:FUREDI
Suffix:
Gender:M
Credentials:PA
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Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:23803 BAYVIEW CT
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-1610
Mailing Address - Country:US
Mailing Address - Phone:661-254-4707
Mailing Address - Fax:
Practice Address - Street 1:23803 BAYVIEW CT
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-1610
Practice Address - Country:US
Practice Address - Phone:661-254-4707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant