Provider Demographics
NPI:1992719058
Name:BRELAND, ALBERT EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:EDWARD
Last Name:BRELAND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3481 OVERPARK RD
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-1865
Mailing Address - Country:US
Mailing Address - Phone:858-793-6887
Mailing Address - Fax:858-509-0900
Practice Address - Street 1:3481 OVERPARK RD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92130-1865
Practice Address - Country:US
Practice Address - Phone:858-793-6887
Practice Address - Fax:858-509-0900
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC339482084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry