Basic Information
| Provider Information | |||||||||
| NPI: | 1093728503 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FRISCH | ||||||||
| FirstName: | DONNA | ||||||||
| MiddleName: | JO | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11 TECHNOLOGY DR | ||||||||
| Address2: | |||||||||
| City: | IRVINE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 926182302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9499233250 | ||||||||
| FaxNumber: | 8558125865 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 S ANAHEIM HILLS RD | ||||||||
| Address2: | #206 | ||||||||
| City: | ANAHEIM HILLS | ||||||||
| State: | CA | ||||||||
| PostalCode: | 92807 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7142826934 | ||||||||
| FaxNumber: | 7142826935 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/14/2006 | ||||||||
| LastUpdateDate: | 08/26/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | G76025 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
ID Information
| ID | Type | State | Issuer | Description | P01391217 | 01 | CA | RR MEDICARE | OTHER | W16596 | 05 | CA | MEDICAID |