Provider Demographics
NPI:1235955345
Name:HUNG, ALBERT (DPT)
Entity type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:HUNG
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39969 PASEO PADRE PKWY
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-2975
Mailing Address - Country:US
Mailing Address - Phone:510-378-5468
Mailing Address - Fax:
Practice Address - Street 1:5600 MOWRY SCHOOL RD STE 305
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:CA
Practice Address - Zip Code:94560-5371
Practice Address - Country:US
Practice Address - Phone:151-065-1925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA307261225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist