Provider Demographics
NPI:1013964386
Name:FUCHS, ALBERT CAROL (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:CAROL
Last Name:FUCHS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8500 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 605
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3121
Mailing Address - Country:US
Mailing Address - Phone:310-652-1900
Mailing Address - Fax:310-652-1998
Practice Address - Street 1:8500 WILSHIRE BLVD
Practice Address - Street 2:SUITE 605
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3121
Practice Address - Country:US
Practice Address - Phone:310-652-1900
Practice Address - Fax:310-652-1998
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-30
Last Update Date:2010-01-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA55669207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA55669Medicare ID - Type UnspecifiedMEDICAL LICENSE
CAG49078Medicare UPIN