Provider Demographics
NPI:1174564629
Name:ALBERS, HARRY R (MD)
Entity type:Individual
Prefix:DR
First Name:HARRY
Middle Name:R
Last Name:ALBERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4180 LA JOLLA VILLAGE DR STE 220
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1471
Mailing Address - Country:US
Mailing Address - Phone:858-321-2150
Mailing Address - Fax:858-321-2153
Practice Address - Street 1:4180 LA JOLLA VILLAGE DR STE 220
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1471
Practice Address - Country:US
Practice Address - Phone:858-321-2150
Practice Address - Fax:858-321-2153
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG76224207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G762240Medicaid
CA00G762240Medicaid
110153992OtherRAILROAD MEDICARE
CAF85221Medicare UPIN
CA00G762240Medicaid