Provider Demographics
NPI:1760475958
Name:FRIEDMAN, MILTON DAVID (MD)
Entity Type:Individual
Prefix:
First Name:MILTON
Middle Name:DAVID
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 1:332 S JUNIPER ST
Mailing Address - Street 2:#108
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-4940
Mailing Address - Country:US
Mailing Address - Phone:760-746-1755
Mailing Address - Fax:760-746-0181
Practice Address - Street 1:555 E VALLEY PKWY
Practice Address - Street 2:PALOMAR MEDICAL CENTER
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3048
Practice Address - Country:US
Practice Address - Phone:760-739-3000
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC33475207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWC33475AMedicare ID - Type Unspecified
A87654Medicare UPIN