=====================================================
General NPI Number Information
=====================================================
NPI Number | 1740136134
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHRISTOPHER ALBERT
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/07/2026
-----------------------------------------------------
Last Update Date | 03/07/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3240 LONE TREE WAY STE 104
-----------------------------------------------------
City | ANTIOCH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94509-5559
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-350-0184
-----------------------------------------------------
Fax | 925-350-0230
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3240 LONE TREE WAY STE 104
-----------------------------------------------------
City | ANTIOCH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94509-5559
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-350-0184
-----------------------------------------------------
Fax | 925-350-0230
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 332B00000X
-----------------------------------------------------
Taxonomy Name | Durable Medical Equipment & Medical Supplies
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------