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FREDRIC L EDELMAN MD A PROF CORP
NPI 1952582249
Specialist in Encino, CA

Active since November 15, 2007
16830 VENTURA BLVD STE 130, ENCINO, CA 91436(818) 781-3350(818) 781-7237 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fredric L Edelman Md A Prof Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREDRIC L EDELMAN MD A PROF CORP (NPI 1952582249) is a healthcare organization registered as a specialist in Encino, California and active in the NPI registry since November 2007. The organization lists Cheryl Aguilera, Manager, as its authorized official.

NPPES Registry Identity

NPI1952582249
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFREDRIC L EDELMAN MD A PROF CORP
Location Address16830 VENTURA BLVD STE 130Encino, CA 91436-1786
Mailing Address16830 Ventura Blvd Ste 130Encino, CA 91436-1786 · (818) 781-3350 · Fax (818) 781-7237
Phone(818) 781-3350
Fax(818) 781-7237
Organization SubpartNo
Authorized OfficialCheryl AguileraManager · (818) 781-3350
Enumeration DateNovember 15, 2007
Last NPPES UpdateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1952582249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G15613
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Also ListedNeurological SurgeryTaxonomy 207T00000X · License G15613 (CA)
16830 VENTURA BLVD STE 130, Encino, CA 91436
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Other Identifiers 1

MedicaidGR0079310CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fredric L Edelman MD A Prof Corp's NPI number?

The NPI number for Fredric L Edelman MD A Prof Corp is 1952582249. It was assigned to this organization in the NPPES registry on November 15, 2007.

Where is Fredric L Edelman MD A Prof Corp located?

Fredric L Edelman MD A Prof Corp is located at 16830 Ventura Blvd Ste 130, Encino, CA 91436. The listed phone number is (818) 781-3350.

What is Fredric L Edelman MD A Prof Corp's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Fredric L Edelman MD A Prof Corp was last updated on March 16, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.