Basic Information
Provider Information
NPI: 1225441058
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRIEDMAN
FirstName: ALEXANDER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 900 UNIVERSITY AVE
Address2: UCR SOM
City: RIVERSIDE
State: CA
PostalCode: 925210001
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 900 UNIVERSITY AVE
Address2:  
City: RIVERSIDE
State: CA
PostalCode: 925210001
CountryCode: US
TelephoneNumber: 9518277669
FaxNumber: 9518277688
Other Information
ProviderEnumerationDate: 06/10/2014
LastUpdateDate: 06/19/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208M00000X20A14266CAY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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