Healthcare Provider Details

I. General information

NPI: 1851895288
Provider Name (Legal Business Name): DINA ALBAREE DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13651 WILLARD STREET
PANORAMA CITY CA
91402
US

IV. Provider business mailing address

13652 CANTARA ST
PANORAMA CITY CA
91402-5423
US

V. Phone/Fax

Practice location:
  • Phone: 833-574-2273
  • Fax:
Mailing address:
  • Phone: 888-778-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number05941
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number20A17654
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: