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NPI Code Detail

MEDICARE: GREGORY ALBRECHT

MEDICARE: GREGORY ALBRECHT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213E00000XPodiatristPO2546FL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00086042OTHERFLRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
165436OTHERFLBCBSFL
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669411369
Entity Type Code : Individual
Provider Name (Legal Business Name) : GREGORY ALBRECHT
Provider Business Mailing Address
First Line : 4211 AVALON BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90011-5622
Country : US
Telephone Number : 954-559-8608
Fax Number :
Provider Business Practice Location Address
First Line : 4211 AVALON BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90011-5622
Country : US
Telephone Number : 954-559-8608
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 05/30/2023

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Directions to “ GREGORY ALBRECHT ” Practice Location

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