Provider Demographics
NPI:1528041704
Name:ALBERT, BRUCE M (MD)
Entity Type:Individual
Prefix:DR
First Name:BRUCE
Middle Name:M
Last Name:ALBERT
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4980 BARRANCA PKWY
Mailing Address - Street 2:SUITE 201
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604-8645
Mailing Address - Country:US
Mailing Address - Phone:949-727-0770
Mailing Address - Fax:949-727-7432
Practice Address - Street 1:4980 BARRANCA PKWY
Practice Address - Street 2:SUITE 201
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92604-8645
Practice Address - Country:US
Practice Address - Phone:949-727-0770
Practice Address - Fax:949-727-7432
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-22
Last Update Date:2010-07-01
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Provider Licenses
StateLicense IDTaxonomies
CAG040650207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA48303Medicare UPIN