Provider Demographics
NPI:1114983848
Name:ALBRIGHT, EUGENE WILLIAM JR (MD)
Entity Type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:WILLIAM
Last Name:ALBRIGHT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:EUGENE
Other - Middle Name:WILLIAM
Other - Last Name:ALBRIGHT
Other - Suffix:JR
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:4500 BROCKTON AVE
Mailing Address - Street 2:SUITE 315
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92501-4018
Mailing Address - Country:US
Mailing Address - Phone:951-781-7140
Mailing Address - Fax:951-781-7184
Practice Address - Street 1:4500 BROCKTON AVE
Practice Address - Street 2:SUITE 315
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92501-4090
Practice Address - Country:US
Practice Address - Phone:951-781-7184
Practice Address - Fax:951-781-7184
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-21
Last Update Date:2014-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC40864207V00000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology