Provider Demographics
NPI:1912286022
Name:RIPALDA, ALBERT T (RN)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:T
Last Name:RIPALDA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6670 GLADE AVE APT 103
Mailing Address - Street 2:
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91303-2539
Mailing Address - Country:US
Mailing Address - Phone:702-430-0440
Mailing Address - Fax:
Practice Address - Street 1:6670 GLADE AVE APT 103
Practice Address - Street 2:
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91303-2539
Practice Address - Country:US
Practice Address - Phone:702-430-0440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-06
Last Update Date:2011-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY646349163W00000X
NVRN68529163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse