Dimitrova, Albena
Dimitrova, Albena is an individual health care provider with primary practice located at 1771 Northcrest Dr , Crescent City CA 95531-8922. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dimitrova, Albena can be contacted via phone (707) 465-8666.Contact Information
Primary practice address
1771 Northcrest Dr
Crescent City CA 95531-8922
Phone: (707) 465-8666
Fax: (707) 465-8650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A86862 | California |
Profile Details
| NPI number | 1861490674 |
|---|---|
| LBN Legal business name | Dimitrova, Albena |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Jun 4th, 2008 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861490674 | NPPES |
| Oregon | Other | 120135 | NORIDIAN |
| Oregon | MEDICAID | OOA868620 | NORIDIAN |
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