Provider Demographics
NPI:1487945077
Name:FRIEDMAN, JOEL LLOYD (DO)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:LLOYD
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:351 ROLLING OAKS DR STE 100
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91361-1276
Mailing Address - Country:US
Mailing Address - Phone:805-373-8582
Mailing Address - Fax:805-373-0023
Practice Address - Street 1:215 W JANSS RD DEPT OF
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91360-1847
Practice Address - Country:US
Practice Address - Phone:805-373-8582
Practice Address - Fax:805-373-0023
Is Sole Proprietor?:No
Enumeration Date:2011-04-29
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A12613207ZP0102X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program