Individual
PAUL K. SHITABATA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3870 DEL AMO BLVD, UNIT 507, TORRANCE, CA 90503-2165
(310) 561-8503
(310) 347-4381
Mailing address
3870 DEL AMO BLVD, UNIT 507, TORRANCE, CA 90503-2165
(310) 561-8503
(310) 347-4381
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
G67270
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G67270
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G672700
—
CA
Enumeration date
06/22/2006
Last updated
08/01/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us