Provider Demographics
NPI:1215085659
Name:FRIEDMAN, DAVID LEONARD (MD, PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LEONARD
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5769 UPLANDER WAY
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-6605
Mailing Address - Country:US
Mailing Address - Phone:310-337-9800
Mailing Address - Fax:310-337-0400
Practice Address - Street 1:5769 UPLANDER WAY
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-6627
Practice Address - Country:US
Practice Address - Phone:310-337-9800
Practice Address - Fax:310-337-0400
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2009-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG32221174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist