Provider Demographics
NPI:1689833501
Name:ALBANIA, JOSE BARREDO
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:BARREDO
Last Name:ALBANIA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 28TH ST
Mailing Address - Street 2:UNIT 3
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-2400
Mailing Address - Country:US
Mailing Address - Phone:415-672-5510
Mailing Address - Fax:415-821-2132
Practice Address - Street 1:107 28TH ST
Practice Address - Street 2:UNIT 3
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-2400
Practice Address - Country:US
Practice Address - Phone:415-672-5510
Practice Address - Fax:415-821-2132
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA30129225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist