Individual
ANNE ELIZABETH DREJET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4181 STATE STREET, MEDICAL GROUP PATHOLOGY LAB, SANTA BARBARA, CA 93110
(805) 563-1800
(805) 569-6233
Mailing address
PO BOX 25420, VENTURA, CA 93002-2277
(805) 650-5910
(805) 650-5972
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A524340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A524340
—
CA
01
—
1356409379
GROUP NPI
CA
01
—
A524340
MEDICAL BOARD OF CA
CA
01
—
ZZZ42967Z
BLUE SHIELD
CA
Enumeration date
11/27/2006
Last updated
10/20/2010
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