Individual
DR. MICHAEL J. ALBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MOODY CT STE 200, THOUSAND OAKS, CA 91360-6082
(805) 418-3500
(805) 418-3505
Mailing address
5767 W CENTURY BLVD # 400, LOS ANGELES, CA 90045-5631
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
G22904
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G229040
—
CA
Enumeration date
08/29/2006
Last updated
01/03/2020
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