Organization
ALTA EAST BAY PATHOLOGY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE SHAIEB MD (PRESIDENT)
(805) 578-8300
Entity
Organization
Contact information
Practice address
20103 LAKE CHABOT ROAD, CASTRO VALLEY, CA 94546-5305
(510) 268-8683
(510) 268-8865
Mailing address
1633 ERRINGER RD, 1ST FLOOR, SIMI VALLEY, CA 93065-3583
(805) 578-8300
(805) 578-3911
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
05D0599285
CA
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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