Healthcare Provider Details

I. General information

NPI: 1851534465
Provider Name (Legal Business Name): ALBERTO SALUDES DEL PILAR JR. MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2009
Last Update Date: 05/25/2022
Certification Date: 05/25/2022
Deactivation Date: 04/27/2022
Reactivation Date: 05/24/2022

III. Provider practice location address

7373 WEST LN
STOCKTON CA
95210-3377
US

IV. Provider business mailing address

1800 HARRISON ST FL 7
OAKLAND CA
94612-3466
US

V. Phone/Fax

Practice location:
  • Phone: 209-476-2000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number266776
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC166310
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: