Provider Demographics
NPI:1982701454
Name:FRISCHER, ALAN ANTHONY (MD)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:ANTHONY
Last Name:FRISCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11480 BROOKSHIRE AVE
Mailing Address - Street 2:200
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-9998
Mailing Address - Country:US
Mailing Address - Phone:562-806-0874
Mailing Address - Fax:562-927-4801
Practice Address - Street 1:11480 BROOKSHIRE AVE
Practice Address - Street 2:200
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-9998
Practice Address - Country:US
Practice Address - Phone:562-806-0874
Practice Address - Fax:562-927-4801
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG57886207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G578860Medicaid
CA00G578860Medicaid
CAWG57886DMedicare PIN