1275503542 NPI number — MS. SHARON LYNN FRIEDMAN MD

Table of content: LOTEM GILADI (NPI 1073760724)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275503542 NPI number — MS. SHARON LYNN FRIEDMAN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FRIEDMAN
Provider First Name:
SHARON
Provider Middle Name:
LYNN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BORSKEY
Provider Other First Name:
SHARON
Provider Other Middle Name:
FRIEDMAN
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1275503542
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
25800 CARLOS BEE BLVD
Provider Second Line Business Mailing Address:
CSU EAST BAY STUDENT HEALTH SERVICES
Provider Business Mailing Address City Name:
HAYWARD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94542-3000
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
510-885-3735
Provider Business Mailing Address Fax Number:
510-885-3230

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
25800 CARLOS BEE BLVD
Provider Second Line Business Practice Location Address:
CSU EAST BAY STUDENT HEALTH SERVICES
Provider Business Practice Location Address City Name:
HAYWARD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94542-3000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-885-3735
Provider Business Practice Location Address Fax Number:
510-885-3230
Provider Enumeration Date:
01/26/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 208D00000X , with the licence number:  G22120 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00G221200 . This is a "MEDICAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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