Provider Demographics
NPI:1891982633
Name:CARSON, CINDY ALBERTS (MD)
Entity type:Individual
Prefix:DR
First Name:CINDY
Middle Name:ALBERTS
Last Name:CARSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:439 S MERIDITH AVE
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91106-3512
Mailing Address - Country:US
Mailing Address - Phone:626-793-9353
Mailing Address - Fax:626-793-9315
Practice Address - Street 1:960 E GREEN ST
Practice Address - Street 2:SUITE 104
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91106-2412
Practice Address - Country:US
Practice Address - Phone:626-793-9353
Practice Address - Fax:626-793-9315
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2017-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA101515207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine