Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | BP10034421 | TX |
N | 208600000X | Surgeon | BP10034421 | TX |
Y | 2086S0102X | Surgical Critical Care | A149166 | CA |
NPI | 1053643536 |
---|---|
Provider Name | Dr. Paul T Albini |
First Address | San Diego, CA 92193-2410 |
Second Address | Moreno Valley, CA 92555-3927 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2010 |
Last Update Date | 01/05/2020 |