Provider Demographics
NPI:1689820540
Name:TOUBIA, ALBERT (DDS)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:
Last Name:TOUBIA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 N ROXBURY DR
Mailing Address - Street 2:SUITE 108
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90210-5026
Mailing Address - Country:US
Mailing Address - Phone:310-271-5003
Mailing Address - Fax:310-273-7553
Practice Address - Street 1:436 N ROXBURY DR
Practice Address - Street 2:SUITE 108
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-5026
Practice Address - Country:US
Practice Address - Phone:310-271-5003
Practice Address - Fax:310-273-7553
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA291861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice