Provider Demographics
NPI:1801994447
Name:FREEDOM ARTHRITIS & OSTEOPOROSIS CENTER
Entity type:Organization
Organization Name:FREEDOM ARTHRITIS & OSTEOPOROSIS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YOON
Authorized Official - Middle Name:SUNG
Authorized Official - Last Name:MIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-254-1202
Mailing Address - Street 1:21060 CENTRE POINTE PKWY
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-2976
Mailing Address - Country:US
Mailing Address - Phone:661-254-1202
Mailing Address - Fax:661-964-0495
Practice Address - Street 1:21060 CENTRE POINTE PKWY
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91350-2976
Practice Address - Country:US
Practice Address - Phone:661-254-1202
Practice Address - Fax:661-964-0495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA64832207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAI01277Medicare UPIN