Dimitrova, Albena

Dimitrova, Albena is an individual health care provider with primary practice located at 1771 Northcrest Dr , Crescent City CA 95531-8922. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Dimitrova, Albena can be contacted via phone (707) 465-8666.

Contact Information

Primary practice address
1771 Northcrest Dr Crescent City CA 95531-8922
Phone: (707) 465-8666
Fax: (707) 465-8650
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A86862 California

Profile Details

NPI number 1861490674
LBN Legal business name Dimitrova, Albena
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Jun 4th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861490674 NPPES
Oregon Other 120135 NORIDIAN
Oregon MEDICAID OOA868620 NORIDIAN

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