Basic Information
| Provider Information | |||||||||
| NPI: | 1184607236 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALBERTSON | ||||||||
| FirstName: | TIMOTHY | ||||||||
| MiddleName: | EUGENE | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD, PHD, MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4150 V ST STE 3400 | ||||||||
| Address2: | UC DAVIS MEDICAL CENTER | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958171460 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9167343564 | ||||||||
| FaxNumber: | 9167347924 | ||||||||
| Practice Location | |||||||||
| Address1: | 4150 V ST STE 3400 | ||||||||
| Address2: | UC DAVIS MEDICAL CENTER | ||||||||
| City: | SACRAMENTO | ||||||||
| State: | CA | ||||||||
| PostalCode: | 958171460 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9167343564 | ||||||||
| FaxNumber: | 9167347924 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/22/2005 | ||||||||
| LastUpdateDate: | 09/08/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207PT0002X | G37112 | CA | N | Allopathic & Osteopathic Physicians | Emergency Medicine | Medical Toxicology | 207RC0200X | G37112 | CA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine | 207RP1001X | G37112 | CA | N | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease | 208U00000X | G37112 | CA | N | Allopathic & Osteopathic Physicians | Clinical Pharmacology |
No ID Information.