Provider Demographics
NPI:1144259946
Name:ALBERT, SHLOMI (MD)
Entity type:Individual
Prefix:DR
First Name:SHLOMI
Middle Name:
Last Name:ALBERT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11160 WARNER AVE
Mailing Address - Street 2:SUITE 423
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-4008
Mailing Address - Country:US
Mailing Address - Phone:714-549-3333
Mailing Address - Fax:714-549-3334
Practice Address - Street 1:11160 WARNER AVE
Practice Address - Street 2:SUITE 423
Practice Address - City:FOUNTAIN VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92708-4008
Practice Address - Country:US
Practice Address - Phone:714-549-3333
Practice Address - Fax:714-549-3334
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCMD035930208800000X
CAA99515208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology