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
| Taxonomy | Code | License |
|---|---|---|
| Addiction Medicine (Family Medicine) Physician Primary | 207QA0401X | 20A16704 (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.