Provider Demographics
NPI:1962733998
Name:PANERO, ALBERTO JAVIER (DO)
Entity type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:JAVIER
Last Name:PANERO
Suffix:
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:2277 FAIR OAKS BLVD STE 415
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-5500
Mailing Address - Country:US
Mailing Address - Phone:954-295-7440
Mailing Address - Fax:
Practice Address - Street 1:2277 FAIR OAKS BLVD STE 415
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-5500
Practice Address - Country:US
Practice Address - Phone:916-418-4442
Practice Address - Fax:916-256-3968
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-14
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA20A128532081S0010X, 2081S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081S0010XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationSports Medicine