Healthcare Provider Details

I. General information

NPI: 1083722011
Provider Name (Legal Business Name): LOURDES CAMBA ALBANO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 MIRANDA AVE
PALO ALTO CA
94304-1207
US

IV. Provider business mailing address

3296 MONTE VERDE LN
SAN JOSE CA
95135-2318
US

V. Phone/Fax

Practice location:
  • Phone: 650-493-5000
  • Fax: 650-849-0237
Mailing address:
  • Phone: 650-493-5000
  • Fax: 650-849-0237

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374T00000X
TaxonomyReligious Nonmedical Nursing Personnel
License Number452908
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: