Individual
GAIL SUMIKO SHIBATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1975 4TH ST, SAN FRANCISCO, CA 94143-2351
(415) 885-7268
Mailing address
FILE 4501, LOS ANGELES, CA 90074-0001
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
G79502
CA
207LP3000X
Pediatric Anesthesiology Physician
G79502
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G795020
BLUE SHIELD OF CA
CA
01
—
00G795020303
CALOPTIMA
CA
05
—
00G795050
—
CA
05
—
100504234
—
NV
Enumeration date
06/17/2006
Last updated
04/02/2019
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