Provider Demographics
NPI:1467806612
Name:PEDROZA, ALBERT JAMES (MD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:JAMES
Last Name:PEDROZA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 GORDON ST APT 21
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94061-6800
Mailing Address - Country:US
Mailing Address - Phone:714-609-1924
Mailing Address - Fax:
Practice Address - Street 1:1660 GORDON ST APT 21
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94061-6800
Practice Address - Country:US
Practice Address - Phone:714-609-1924
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program