Provider Demographics
NPI:1114343886
Name:ALBERTINI, SILVIA (PA-C)
Entity Type:Individual
Prefix:
First Name:SILVIA
Middle Name:
Last Name:ALBERTINI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W LAS PALMAS DR
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92835-1534
Mailing Address - Country:US
Mailing Address - Phone:714-788-9608
Mailing Address - Fax:
Practice Address - Street 1:300 W LAS PALMAS DR
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92835-1534
Practice Address - Country:US
Practice Address - Phone:714-788-9608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-05
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPA14497363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant