Provider Demographics
NPI:1225335805
Name:ALBERT A. REFF, M.D.,INC.
Entity Type:Organization
Organization Name:ALBERT A. REFF, M.D.,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:ABRAHAM
Authorized Official - Last Name:REFF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:310-372-4646
Mailing Address - Street 1:510 N PROSPECT AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90277-3028
Mailing Address - Country:US
Mailing Address - Phone:310-372-4646
Mailing Address - Fax:310-798-4667
Practice Address - Street 1:510 N PROSPECT AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90277-3028
Practice Address - Country:US
Practice Address - Phone:310-372-4646
Practice Address - Fax:310-798-4667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-17
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG25715207XS0114X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0114XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA42769Medicare UPIN