Provider Demographics
NPI:1730104704
Name:FRIEDMAN, YARON (MD)
Entity Type:Individual
Prefix:DR
First Name:YARON
Middle Name:
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 1:12 SOUTH TRL
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-2126
Mailing Address - Country:US
Mailing Address - Phone:925-878-8795
Mailing Address - Fax:925-885-2484
Practice Address - Street 1:130 LA CASA VIA BLDG 3
Practice Address - Street 2:SUITE 112
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3045
Practice Address - Country:US
Practice Address - Phone:925-878-8795
Practice Address - Fax:925-885-2484
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA74362207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A743620Medicare ID - Type Unspecified
CAI28495Medicare UPIN