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:
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Health care specialties

SpecialtyCodeLicense #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 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932145133 NPPES
California MEDICAID 00G672700

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