Provider Demographics
NPI:1831314988
Name:FREEDMAN, GAIL MARCIA (L AC)
Entity Type:Individual
Prefix:
First Name:GAIL
Middle Name:MARCIA
Last Name:FREEDMAN
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4822 VAN NOORD AVE
Mailing Address - Street 2:STE. 5
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91423-2284
Mailing Address - Country:US
Mailing Address - Phone:818-437-4325
Mailing Address - Fax:818-762-4869
Practice Address - Street 1:12520 MAGNOLIA BLVD
Practice Address - Street 2:STE. 309
Practice Address - City:NORTH HOLLYWOOD
Practice Address - State:CA
Practice Address - Zip Code:91607-2336
Practice Address - Country:US
Practice Address - Phone:818-808-0889
Practice Address - Fax:818-762-4869
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA8052171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist