Healthcare Provider Details

I. General information

NPI: 1780378752
Provider Name (Legal Business Name): GERIN JOSEPH ALBELDA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2023
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2243 MOWRY AVE STE B
FREMONT CA
94538-1630
US

IV. Provider business mailing address

4217 REMORA DR
UNION CITY CA
94587-2535
US

V. Phone/Fax

Practice location:
  • Phone: 510-797-8991
  • Fax:
Mailing address:
  • Phone: 510-435-8029
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDDS113149
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: