Individual provider · Type 1 NPI

Matilde Fredrickson, DO

Addiction Medicine (Family Medicine) Physician · Oakland, CA

NPI number 1770011348 Active

Practice location

1411 E 31st St
Oakland, CA 94602-1018

Mailing address

1923 8th St
Berkeley, CA 94710-2014

Specialties and licenses

TaxonomyCodeLicense
Addiction Medicine (Family Medicine) Physician Primary 207QA0401X20A16704 (CA)

Addiction Medicine (Family Medicine) Physician: A family medicine physician who specializes in the diagnosis and treatment of addictions.

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About NPI 1770011348

Matilde Fredrickson, DO's National Provider Identifier is 1770011348, issued on May 26, 2017. The primary taxonomy on file is Addiction Medicine (Family Medicine) Physician (207QA0401X), and the practice location is in Oakland, CA. The record was last updated on Sep 1, 2021.