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
3300 WEBSTER ST, #1201, OAKLAND, CA 94609-3117
(805) 578-8300
(805) 578-3911
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
207ZC0500X
Cytopathology Physician
05D1082851
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
05D1082851
CA
Other
Enumeration date
04/07/2009
Last updated
04/08/2009
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