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Hal M Frederick, MD
Body Imaging Physician in Santa Monica, California
NPI 1720065931

Hal M Frederick is a Body Imaging Physician based in Kennesaw, CA and is specialized in Body Imaging. Hal M Frederick practices in Santa Monica, CA and has the professional credentials of MD. The NPI Number for Hal M Frederick is 1720065931 and holds a License No. 031741 (California).

The current practice location address for Hal M Frederick is 2428 Santa Monica Blvd, Santa Monica, CA and can be reached out via phone at 310-315-1000.

Location: 2428 Santa Monica Blvd, Santa Monica, CA, 30156-9241
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720065931
Provider Name
Hal M Frederick
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2428 Santa Monica Blvd, Santa Monica, CA, 30156-9241
Phone Number
310-315-1000
Fax Number
Provider Enumeration Date
12/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000393698 05 GA
institution
Provider Business Practice Location Address Details
Address
2428 Santa Monica Blvd
City
Santa Monica
State
California
Zip
90404-2045
Phone Number
310-315-1000
Fax Number
person
Provider Business Mailing Address Details
Address
2428 Santa Monica Blvd
City
Santa Monica
State
California
Zip
90404-2045
Phone Number
310-315-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
G52182 (California)
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
031741 (Georgia)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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