Individual
DR. ALBERT L. BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1860 MOWRY AVE, SUITE 200, FREMONT, CA 94538-1730
(510) 795-2026
(510) 792-0795
Mailing address
2000 MOWRY AVE, FREMONT, CA 94538-1716
(510) 795-2026
(510) 792-0795
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G366000
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G366000
BLUE SHIELD OF CA PIN
CA
05
—
00G366000
—
CA
Enumeration date
01/17/2007
Last updated
07/09/2007
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