# ALBERTO V NATIVIDAD M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578739306
- **Authorized official:** DR. ALBERTO V NATIVIDAD MD (DIRECTOR)
- **Authorized official phone:** (213) 989-1951

## Contact information

- **Practice address:** 1711 W TEMPLE ST, SUITE 3200, LOS ANGELES, CA 90026
- **Practice address phone:** (213) 989-1951
- **Mailing address:** 1711 W TEMPLE ST, SUITE 3200, LOS ANGELES, CA 90026-5421
- **Mailing address phone:** (213) 989-1951

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | A40458 | CA | Yes |

## Other

- **Enumeration date:** 05/01/2008
- **Last updated:** 08/10/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00A404580 | — | CA |