Provider Demographics
NPI:1275596496
Name:MA, ALBERT Y (MD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:Y
Last Name:MA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8200 STOCKDALE HIGHWAY
Mailing Address - Street 2:SUITE M10, BOX 329
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93311
Mailing Address - Country:US
Mailing Address - Phone:661-735-3887
Mailing Address - Fax:661-836-5545
Practice Address - Street 1:1500 HAGGIN OAKS BLVD STE 202
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93311-1333
Practice Address - Country:US
Practice Address - Phone:661-735-3887
Practice Address - Fax:661-836-5545
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA931792084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADM050WMedicare PIN