Provider Demographics
NPI:1285720326
Name:ENCINA, ALBERTO Y (MD)
Entity type:Individual
Prefix:
First Name:ALBERTO
Middle Name:Y
Last Name:ENCINA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2661 E WASHINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-1412
Mailing Address - Country:US
Mailing Address - Phone:626-798-8792
Mailing Address - Fax:626-798-9607
Practice Address - Street 1:1542 E FLORENCE AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90001-2536
Practice Address - Country:US
Practice Address - Phone:323-584-0222
Practice Address - Fax:323-584-0634
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2013-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA33026207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine