# ALTA EAST BAY PATHOLOGY INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932342854
- **Authorized official:** ANNETTE SHAIEB MD (PRESIDENT)
- **Authorized official phone:** (805) 578-8300

## Contact information

- **Practice address:** 3300 WEBSTER ST, \#1201, OAKLAND, CA 94609-3117
- **Practice address phone:** (805) 578-8300
- **Practice address fax:** (805) 578-3911
- **Mailing address:** 1633 ERRINGER RD, 1ST FLOOR, SIMI VALLEY, CA 93065-3583
- **Mailing address phone:** (805) 578-8300
- **Mailing address fax:** (805) 578-3911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZC0500X | Cytopathology Physician | 05D1082851 | CA | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 05D1082851 | CA | Yes |

## Other

- **Enumeration date:** 04/07/2009
- **Last updated:** 04/08/2009