Provider Demographics
NPI:1689640856
Name:FREYNE, BRIGID MAURA (MD)
Entity Type:Individual
Prefix:
First Name:BRIGID
Middle Name:MAURA
Last Name:FREYNE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39755 MURRIETA HOT SPRINGS RD
Mailing Address - Street 2:SUITE F110
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92563-9101
Mailing Address - Country:US
Mailing Address - Phone:951-696-4600
Mailing Address - Fax:951-696-4601
Practice Address - Street 1:39755 MURRIETA HOT SPRINGS RD
Practice Address - Street 2:SUITE F110
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92563-9101
Practice Address - Country:US
Practice Address - Phone:951-696-4600
Practice Address - Fax:951-696-4601
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-27
Last Update Date:2017-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64382207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A643822Medicaid
CA00A643822Medicare PIN
CA00A643822Medicaid