Provider Demographics
NPI:1881684405
Name:ALBERT, CRAIG P (MD)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:P
Last Name:ALBERT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:17360 BROOKHURST ST
Mailing Address - Street 2:ATTN: MCMF CREDENTIALING DEPARTMENT
Mailing Address - City:FOUNTAIN VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92708-3720
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:31001 RANCHO VIEJO RD
Practice Address - Street 2:SUITE 200
Practice Address - City:SAN JUAN CAPISTRANO
Practice Address - State:CA
Practice Address - Zip Code:92675
Practice Address - Country:US
Practice Address - Phone:949-661-9611
Practice Address - Fax:949-443-6200
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2015-07-08
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Provider Licenses
StateLicense IDTaxonomies
CAA48555207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A485550Medicaid
CAF38955Medicare UPIN
CA00A485550Medicaid
CAF38955Medicare UPIN