Provider Demographics
NPI:1770621062
Name:FRIEDSON, JOAN EVELYN (MD)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:EVELYN
Last Name:FRIEDSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1020 PROSPECT ST
Mailing Address - Street 2:SUITE 309
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037
Mailing Address - Country:US
Mailing Address - Phone:858-551-8171
Mailing Address - Fax:858-551-8127
Practice Address - Street 1:1020 PROSPECT ST
Practice Address - Street 2:SUITE 309
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037
Practice Address - Country:US
Practice Address - Phone:858-551-8171
Practice Address - Fax:858-551-8127
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG0695382084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry