Individual
ALBENA DIMITROVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1771 NORTHCREST DR, CRESCENT CITY, CA 95531-8922
(707) 465-8666
(707) 465-8650
Mailing address
1771 NORTHCREST DR, CRESCENT CITY, CA 95531-8922
(707) 465-8666
(707) 465-8650
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A86862
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120135
NORIDIAN
OR
05
—
OOA868620
—
CA
Enumeration date
07/14/2005
Last updated
06/04/2008
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