Shitabata, Paul K.
Shitabata, Paul K. is an sole proprietor health care provider with primary practice located at 3870 Del Amo Blvd Unit 507, Torrance CA 90503-2165. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Shitabata, Paul K. can be contacted via phone (310) 561-8503.Contact Information
Primary practice address
3870 Del Amo Blvd Unit 507
Torrance CA 90503-2165
Phone: (310) 561-8503
Fax: (310) 347-4381
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ZD0900X | G67270 | California |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | G67270 | California |
Profile Details
| NPI number | 1932145133 |
|---|---|
| LBN Legal business name | Shitabata, Paul K. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Aug 1st, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932145133 | NPPES |
| California | MEDICAID | 00G672700 |
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